Unknown Individual – Neurology Physician, NPI 1104826395

Neurology Physician

Unknown Individual is a healthcare provider. based in Valhalla, New York. specializing in Neurology Physician. They hold a License No. 146739-1 (NY). The NPI Number for Unknown Individual is 1104826395

Main info

Organization

Inactive

46 Years Of Experience

Accepts Medicare Assignment

Name

Unknown Individual

NPI

1104826395

Phone

(914) 594-2200

Address

40 SUNSHINE COTTAGE ROAD

Deactivation Date

24 January 2022

Doctor Profile

Medical School Name

STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER

Secondary Phone

9143451313

Graduation Year

1980 (46 years ago)

PAC ID

5991604712

Group Practice PAC ID

3173660776

Professional Enrollment ID

I20110519000069

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

40 SUNSHINE COTTAGE ROAD
NEW YORK MEDICAL COLLEGE, NEUROLOGY DEPARTMENT
VALHALLA, NY 10595
Phone: (914) 594-2200
Fax: (914) 594-2201
Type: Mailing
Bradhurst Avenue, Hawthorne, Mount Pleasant, Town of Mount Pleasant, Westchester, New York, 10532, United States
STE. 2850
HAWTHORNE, NY 105322140
Phone: (914) 345-1313
Fax: (914) 345-5004
Type: Location

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 10595)

Loading plans...

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: 3173660776View full group profile

Name	Specialty	State
DR. CYRIL VARGHESE (M.D.)	-	NY
TRACEY LEE WEIGEL (MD)	Cardiac Surgery, General Surgery, Surgical Oncology, Thoracic Surgery	NY
DR. JOSEPH GEORGE (MD)	-	NY
DR. JOSEPH J FULTON (MD)	Vascular Surgery	NY
DR. PEARL ROSENBAUM (MD)	Ophthalmology, Pathology	NY
DR. ROBERT C HOLLAND (MD)	-	NY
LINDA MAINETTI (NPP)	Nurse Practitioner	NY
JOAQUIN BAGTAS (MD)	A N E S T H E S I O L O G Y	NY
TAUSEEF AHMED (M.D.)	-	NY
IRENE WEISS (MD)	-	NY

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 the 10-digit NPI for Unknown Individual?

Unknown Individual — NPI 1104826395 — is the standard way to identify this listing.

Why is Unknown Individual marked inactive in the NPI directory?

The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.

What is Unknown Individual's specialty?

The listing groups Unknown Individual with Neurology Physician. Clinical services aligned with this taxonomy classification.

Does Unknown Individual list a practice location?

Patients near Valhalla, New York may find Unknown Individual in results; validate coverage separately.

Is the information about Unknown Individual up to date?

Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

Similar Providers

Unknown Individual

Neurology Physician

NEW YORK MEDICAL COLLEGE, NEUROLOGY DEPARTMENT

NPI: 1942200118

DR. JIN LI (M.D.)

Neurology Physician

New York Medical College, 40, Sunshine Cottage Road, Town of Mount Pleasant, Westchester County, New York, 10595, United States

NPI: 1710974357

DR. JI Y CHONG (M.D.)

Vascular Neurology Physician

NewYork-Presbyterian Brooklyn Methodist Hospital, 506, 6th Street, Park Slope, Brooklyn, Kings County, New York, Stone Street Historic District, New York, 11216, United States

NPI: 1295820355