Unknown Individual – Internal Medicine Physician, NPI 1053351981

Unknown Individual is a healthcare provider. based in Brooklyn, New York. specializing in Internal Medicine Physician. They hold a License No. 2103391 (NY). The NPI Number for Unknown Individual is 1053351981

Main info

Organization
Inactive
32 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1053351981
Phone
(718) 282-1078
Address
4802 10TH AVE
Deactivation Date
20 December 2020

Doctor Profile

Medical School Name
NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Secondary Phone
7182837735
Graduation Year
1994 (32 years ago)
PAC ID
1153507223
Group Practice PAC ID
4688814809
Professional Enrollment ID
I20110526000007
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

  • Maimonides Medical Center, 4802, 10th Avenue, Borough Park, Brooklyn, Kings County, New York, 11219, United States

    ATTN CARDIOLOGY

    BROOKLYN, NY 112192844

    Phone: (718) 282-1078

    Fax: (718) 282-1689

    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.

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 11219)

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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: 4688814809View full group profile
NameSpecialtyState
ARISMENDY NUNEZ GARCIA (MD)
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology), Internal MedicineCA
DR. NARAYANAN DEEPAK KARAYIL THEKKOOTT (MD)
Interventional Cardiology, Cardiovascular Disease (Cardiology)LA
ADNAN SADIQ (MD)
Cardiovascular Disease (Cardiology)NY
DR. YILI HUANG (D.O)
Cardiovascular Disease (Cardiology), Internal MedicineNY
LARA M TREGILLIES (NP)
Nurse PractitionerNY
GREGORY JAMES CUNN (MD)
Internal MedicineNY
MARIA CIVILLE
Nurse PractitionerNY
SHIVANI VERMA (M.D., M.P.H)
Cardiovascular Disease (Cardiology), Interventional CardiologyCA
MICHAEL FRIEDMAN (MD)
Interventional Cardiology, Cardiovascular Disease (Cardiology)NY
ZHANNA KHANDROS (AGACNP)
Nurse PractitionerNY

Reviews

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Frequently asked questions

What is the standard ID for Unknown Individual in the U.S.?
In the U.S., Unknown Individual is identified by NPI 1053351981.
What does inactive NPI status mean for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
What does the directory say Unknown Individual does?
Insurance directories may phrase it differently, but here Unknown Individual maps to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to Unknown Individual?
Unknown Individual shows a connection to Brooklyn, New York in registry-derived data.
Why is information missing for Unknown Individual?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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