Unknown Individual – Physician Assistant, NPI 1053389528

Unknown Individual is a healthcare provider. based in New haven, Connecticut. specializing in Physician Assistant. They hold a License No. 001277 (CT). The NPI Number for Unknown Individual is 1053389528

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1053389528
Phone
(203) 688-4748
Address
20 YORK ST # CB-2041
Deactivation Date
8 November 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 20 YORK ST # CB-2041

    YNH MEDICAL SERVICES PC

    NEW HAVEN, CT 065048900

    Phone: (203) 688-4748

    Fax: (203) 688-4740

    Type: Location

  • Yale New Haven Hospital, 20, York Street, Downtown, New Haven, New Haven County, Connecticut, 06510, United States

    CB-2041

    NEW HAVEN, CT 065048900

    Phone: (203) 688-4748

    Fax: (203) 688-4740

    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.

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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.

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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 06504)

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Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1053389528 as the unique 10-digit identifier.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on New Haven, Connecticut.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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