Unknown Individual – Psychologist, NPI 1992759955

Unknown Individual is a healthcare provider. based in Perth amboy, New Jersey. specializing in Psychologist. They hold a License No. MA45123 (NJ). The NPI Number for Unknown Individual is 1992759955

Main info

Organization
Inactive
55 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1992759955
Phone
(732) 324-5138
Address
530 NEW BRUNSWICK AVE
Deactivation Date
1 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7323245138
Graduation Year
1971 (55 years ago)
PAC ID
4183645690
Group Practice PAC ID
0446272298
Professional Enrollment ID
I20051213000244
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Hackensack Meridian Health - Raritan Bay Medical Center, 530, New Brunswick Avenue, Perth Amboy, Middlesex County, New Jersey, 08861, United States

    PERTH AMBOY, NJ 088613654

    Phone: (732) 324-5138

    Fax: (732) 324-4879

    Type: Mailing

  • Summit Oaks Hospital, 19, Prospect Street, Summit, Union County, New Jersey, 07902, United States

    SUMMIT, NJ 079012530

    Phone: (330) 758-4515

    Fax: (330) 758-5121

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $31.

Total Amount is formed as General ($31) + Research ($0) + Ownership ($0) = $31.

Last reported payment date: 2023-05-13 • Largest payer in this snapshot: ABBVIE INC. ($16).

Total Amount

$31

General + Research + Ownership

Payments

2

Total payment records

General Amount

$31

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-13

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$16
Alkermes, Inc.$14
View all Open Payments →|Open Payments Risk Radar →

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.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes3817$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1312$0
View full utilization report →

Insurance plans in this area (ZIP 08861)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0446272298View full group profile

Reviews

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Frequently asked questions

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1992759955.
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.
What kind of provider is Unknown Individual?
The page reflects Psychologist for Unknown Individual. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists Perth Amboy, New Jersey for Unknown Individual; download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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