Unknown Individual – Interventional Pain Medicine Physician, NPI 1982607040

Interventional Pain Medicine Physician

Unknown Individual is a healthcare provider. based in Clifton, New Jersey. specializing in Interventional Pain Medicine Physician. They hold a License No. 25MA07077100 (NJ). The NPI Number for Unknown Individual is 1982607040

Main info

Organization

Inactive

42 Years Of Experience

Accepts Medicare Assignment

Name

Unknown Individual

NPI

1982607040

Phone

(973) 365-0008

Address

1081 PAULISON AVENUE

Deactivation Date

5 June 2024

Doctor Profile

Medical School Name

OTHER

Secondary Phone

Graduation Year

1984 (42 years ago)

PAC ID

1658358817

Professional Enrollment ID

I20040706000723

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience19

Completeness75

Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

Paulison Avenue, Clifton, Passaic County, New Jersey, 07015, United States of America
SUITE 2B
CLIFTON, NJ 070113658
Phone: (973) 365-0008
Fax: (973) 365-0004
Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 07011)

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Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?

Save NPI 1982607040 if you need a stable reference for Unknown Individual.

Should I trust care from Unknown Individual if status is inactive?

An inactive NPI does not by itself prove someone stopped practicing — check other sources.

Can you summarize Unknown Individual's specialty in plain language?

Clinically, the directory lists Unknown Individual with Interventional Pain Medicine Physician. Clinical services aligned with this taxonomy classification.

Does Unknown Individual practice in New Jersey?

You will see Clifton, New Jersey on file for Unknown Individual alongside any extra practice locations.

Is this NPI for an individual or an organization?

This listing corresponds to an Individual Provider.