Unknown Individual – Anatomic Pathology Physician, NPI 1003901042

Unknown Individual is a healthcare provider. based in New york, New York. specializing in Anatomic Pathology Physician. They hold a License No. 229732 (NY). The NPI Number for Unknown Individual is 1003901042

Main info

Organization
Inactive
27 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1003901042
Phone
(212) 241-3069
Address
1190 5TH AVE
Deactivation Date
7 January 2021

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Secondary Phone
-
Graduation Year
1999 (27 years ago)
PAC ID
0042319592
Group Practice PAC ID
4789826694
Professional Enrollment ID
I20070625000009
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

Loading map...

Provider Addresses for Unknown Individual

  • Mount Sinai Emergency Medicine, 1190, 5th Avenue, Manhattan Community Board 11, Manhattan, New York County, New York, 10035, United States

    ONE GUSTAVE L. LEVY PLACE, MAILBOX #1194

    NEW YORK, NY 100296503

    Phone: (212) 241-3069

    Type: Location

  • 28, Elm Road, Katonah, Town of Bedford, Westchester County, New York, 10536, United States

    KATONAH, NY 105361308

    Phone: (917) 572-6209

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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.

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

Insurance plans in this area (ZIP 10029)

Loading plans...

Provider's Procedures

Unknown Individual performs procedures in Anatomic Pathology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PATHOLOGYNY88304Pathology examination of tissue using a microscope, moderately low complexity5337
PATHOLOGYNY88307Pathology examination of tissue using a microscope, moderately high complexity4627

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: 4789826694View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1003901042 — the number used across U.S. healthcare to identify this provider.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Anatomic Pathology Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near New York?
Unknown Individual currently maps to New York, New York in this extract.
Can I trust this NPI listing for Unknown Individual?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

Similar Providers

TAMARA LOUISE KALIR (MD, PHD)

Anatomic Pathology Physician
1 GUSTAVE L LEVY PL
NPI: 1730187667

DR. LIANE DELIGDISCH (MD)

Anatomic Pathology Physician
1 GUSTAVE L LEVY PL
NPI: 1780682708

GEORGE MICHAEL KLEINMAN (MD)

Neuropathology Physician
1 GUSTAVE L LEVY PL
NPI: 1710985650

ROBERT GEORGE PHELPS (MD)

Dermatopathology (Pathology) Physician
1 GUSTAVE L LEVY PL
NPI: 1922007772

NAOMI RAMER (D.D.S)

Anatomic Pathology Physician
1 GUSTAVE L LEVY PL
NPI: 1932107752

ARNOLD HOWARD SZPORN (MD)

Cytopathology Physician
1 GUSTAVE L LEVY PL
NPI: 1952300717

DANIEL PETER PERL (MD)

Neuropathology Physician
1 GUSTAVE L LEVY PL
NPI: 1669471470

CHANDANDEEP S. NAGI (MD)

Anatomic Pathology & Clinical Pathology Physician
1 GUSTAVE L LEVY PL
NPI: 1487652293

DR. HELEN SHIM- CHANG (MD)

Dermatology Physician
East 98th Street, Brownsville, Brooklyn Community District 17, Brooklyn, Kings County, New York, Stone Street Historic District, New York, 11212, United States
NPI: 1730187543