Unknown Individual – Interventional Pain Medicine Physician, NPI 1508876848

Unknown Individual is a healthcare provider. based in Newark, Delaware. specializing in Interventional Pain Medicine Physician. They hold a License No. C1-0004539 (DE). The NPI Number for Unknown Individual is 1508876848

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1508876848
Phone
(302) 392-6501
Address
100 BIDDLE AVE
Deactivation Date
8 March 2023
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

  • Biddle Avenue, Newark, Alameda County, California, 94560, United States

    SUITE 101

    NEWARK, DE 197023981

    Phone: (302) 392-6501

    Fax: (302) 392-3380

    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 19702)

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Provider's Procedures

Unknown Individual performs procedures in Interventional Pain Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERVENTIONAL PAIN MANAGEMENTDE62311Injections of substances into lower or sacral spine2219
INTERVENTIONAL PAIN MANAGEMENTDE64493Injections of lower or sacral spine facet joint using imaging guidance2513
INTERVENTIONAL PAIN MANAGEMENTDE97001Physical therapy evaluation1715
INTERVENTIONAL PAIN MANAGEMENTDE97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes30526

Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1508876848 — the number used across U.S. healthcare to identify this provider.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Interventional Pain Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Newark?
Unknown Individual currently maps to Newark, Delaware in this extract.
Can I trust this NPI listing for Unknown Individual?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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