Unknown Individual – Neurology Physician, NPI 1356366306

Unknown Individual is a healthcare provider. based in East stroudsburg, Pennsylvania. specializing in Neurology Physician. They hold a License No. MD035373E (PA). The NPI Number for Unknown Individual is 1356366306

Main info

Organization
Inactive
42 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1356366306
Phone
(570) 424-1102
Address
3 PARKINSON RD
Deactivation Date
7 August 2024

Doctor Profile

Medical School Name
JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Secondary Phone
6109544000
Graduation Year
1984 (42 years ago)
PAC ID
1355230558
Group Practice PAC ID
6709798333
Professional Enrollment ID
I20070201000259
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

  • 3 PARKINSON RD

    EAST STROUDSBURG, PA 183018087

    Phone: (570) 424-1102

    Fax: (570) 517-5853

    Type: Mailing

  • St. Luke's East Stroudsburg Health Center, 3, Parkinsons Road, East Stroudsburg, Monroe County, Pennsylvania, 18301, United States

    EAST STROUDSBURG, PA 183018087

    Phone: (570) 424-1102

    Fax: (570) 517-5853

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $338.

Total Amount is formed as General ($338) + Research ($0) + Ownership ($0) = $338.

Last reported payment date: 2024-01-03 • Largest payer in this snapshot: ABBVIE INC. ($127).

Total Amount

$338

General + Research + Ownership

Payments

4

Total payment records

General Amount

$338

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-03

Latest reported date

Top Companies

Largest payers in this snapshot

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
J0585Injection, onabotulinumtoxina, 1 unit14,50023$0
99213Established patient office or other outpatient visit, 20-29 minutes264194$0
95886Needle measurement of electrical activity in arm or leg muscles, complete study6337$0
99214Established patient office or other outpatient visit, 30-39 minutes4947$0
64615Injection of chemical for paralysis of facial and neck nerve muscles on both sides of face3512$0
View full utilization report →

Insurance plans in this area (ZIP 18301)

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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: 6709798333View full group profile

Reviews

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Frequently asked questions

What number should I use to identify Unknown Individual for billing?
Administrative and clinical systems typically use NPI 1356366306 for Unknown Individual.
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 type of care does Unknown Individual provide?
Unknown Individual's profile centers on Neurology Physician. Clinical services aligned with this taxonomy classification.
Can patients visit Unknown Individual in East Stroudsburg, Pennsylvania?
For routing, start with East Stroudsburg, Pennsylvania for Unknown Individual, then verify phone and hours locally.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.

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