Unknown Individual – Medical Physician Assistant, NPI 1801840095

Medical Physician Assistant

Unknown Individual is a healthcare provider. based in Groton, Connecticut. specializing in Medical Physician Assistant. They hold a License No. 000190 (CT). The NPI Number for Unknown Individual is 1801840095

Main info

Organization

Inactive

Name

Unknown Individual

NPI

1801840095

Phone

(860) 694-2377

Address

ROUTE 12 BLDG 449

Deactivation Date

21 August 2024

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

Provider Addresses for Unknown Individual

ROUTE 12 BLDG 449
NAVAL AMBULATORY CARE CENTER ATTN PROFESSIONAL AFFAIRS
GROTON, CT 063495600
Phone: (860) 694-2377
Fax: (860) 694-2590
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 06349)

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Reviews

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Frequently asked questions

What is the standard ID for Unknown Individual in the U.S.?

In the U.S., Unknown Individual is identified by NPI 1801840095.

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 does the directory say Unknown Individual does?

Insurance directories may phrase it differently, but here Unknown Individual maps to Medical Physician Assistant. Clinical services aligned with this taxonomy classification.

Which community is linked to Unknown Individual?

Unknown Individual shows a connection to Groton, Connecticut in registry-derived data.

Who maintains Unknown Individual's record?

Providers certify NPPES data; CMS hosts the public file you are viewing.