Unknown Individual – Specialist, NPI 1467426544

Unknown Individual is a healthcare provider. based in Jenkintown, Pennsylvania. specializing in Specialist. They hold a License No. MD008053-E (PA). The NPI Number for Unknown Individual is 1467426544

Main info

Organization
Inactive
62 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1467426544
Phone
(215) 379-2600
Address
261 OLD YORK RD
Deactivation Date
15 May 2024

Doctor Profile

Medical School Name
TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2672885601
Graduation Year
1964 (62 years ago)
PAC ID
6305734807
Group Practice PAC ID
3577451087
Professional Enrollment ID
I20040308000106
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

  • Old York Road, Jenkintown, Montgomery County, Pennsylvania, 19046, United States

    SUITE 708

    JENKINTOWN, PA 190463706

    Phone: (215) 379-2600

    Fax: (215) 663-9166

    Type: Location

  • 1501, Amity Road, Rydal Park, Abington Township, Montgomery County, Pennsylvania, 19046, United States

    RYDAL, PA 190461203

    Phone: (215) 884-1929

    Fax: (215) 884-5286

    Type: Mailing

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 19046)

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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: 3577451087View full group profile
NameSpecialtyState
Interventional Pain Management, Pain Management, AnesthesiologyPA
Interventional Pain Management, NeurologyPA
Nurse PractitionerPA
Physician AssistantPA
Physician AssistantPA
Pain Management, AnesthesiologyPA

Reviews

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Frequently asked questions

What is the registry number for Unknown Individual?
The registry entry for Unknown Individual shows NPI 1467426544.
Should I call the clinic if Unknown Individual is inactive here?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What services align with Unknown Individual's listing?
Unknown Individual's public classification highlights Other Service Providers. Clinical services aligned with this taxonomy classification.
Can patients visit Unknown Individual in Jenkintown, Pennsylvania?
For routing, start with Jenkintown, Pennsylvania for Unknown Individual, then verify phone and hours locally.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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