Unknown Individual – Internal Medicine Physician, NPI 1891797635

Unknown Individual is a healthcare provider. based in Wallingford, Connecticut. specializing in Internal Medicine Physician. They hold a License No. 034665 (CT). The NPI Number for Unknown Individual is 1891797635

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1891797635
Phone
(203) 284-2800
Address
PO BOX 400
Deactivation Date
17 December 2021
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

  • PO BOX 400

    GAYLORD FARMS RD

    WALLINGFORD, CT 064927048

    Phone: (203) 284-2800

    Fax: (203) 679-3598

    Type: Mailing

  • GAYLORD FARMS RD.

    WALLINGFORD, CT 06492

    Phone: (203) 284-2800

    Fax: (203) 679-3598

    Type: Location

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 06492)

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Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1891797635 if you need a stable reference for Unknown Individual.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
What does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Wallingford, Connecticut because that is what the record indicates for Unknown Individual.
What if Wallingford, Connecticut seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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