Unknown Individual – Cardiovascular Disease Physician, NPI 1184622656

Unknown Individual is a healthcare provider. based in Bridgeport, Connecticut. specializing in Cardiovascular Disease Physician. They hold a License No. 019979 (CT). The NPI Number for Unknown Individual is 1184622656

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1184622656
Phone
(203) 334-2100
Address
439 MILL HILL AVE
Deactivation Date
24 January 2022
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

  • 439, Mill Hill Avenue, Historic East Side, Bridgeport, Fairfield County, Connecticut, 06610, United States

    BRIDGEPORT, CT 066102866

    Phone: (203) 334-2100

    Fax: (203) 333-5864

    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.

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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 06610)

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Reviews

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Frequently asked questions

What is the registry number for Unknown Individual?
The registry entry for Unknown Individual shows NPI 1184622656.
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.
How should patients interpret Unknown Individual's specialty?
The extract shows Cardiovascular Disease Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
Which community is linked to Unknown Individual?
Unknown Individual shows a connection to Bridgeport, Connecticut in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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