Unknown Individual – Specialist, NPI 1093701302

Unknown Individual is a healthcare provider. based in Cambridge, Massachusetts. specializing in Specialist. They hold a License No. 6281 (AL). The NPI Number for Unknown Individual is 1093701302

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1093701302
Phone
(617) 945-2402
Address
21 CHAUNCY ST
Deactivation Date
31 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

  • 21, Chauncy Street, Old Cambridge, Cambridge, Middlesex County, Massachusetts, 02138, United States

    APT. 3

    CAMBRIDGE, MA 021382419

    Phone: (617) 945-2402

    Fax: (617) 945-2403

    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.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

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 02138)

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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 1093701302.
Does inactive mean outdated data for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
What services align with Unknown Individual's listing?
Unknown Individual's public classification highlights Other Service Providers. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Cambridge, Massachusetts?
If you are local to Cambridge, Massachusetts, Unknown Individual may be relevant to your search.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.

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