Unknown Individual – Specialist, NPI 1619195872

Unknown Individual is a healthcare provider. based in Andover, Massachusetts. specializing in Specialist. The NPI Number for Unknown Individual is 1619195872

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1619195872
Phone
(978) 685-2603
Address
700 BULFINCH DR
Deactivation Date
24 April 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience5
Completeness75
Years active:0State licenses:0Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 700 BULFINCH DR

    ANDOVER, MA 018101165

    Phone: (978) 685-2603

    Type: Mailing

  • 401 CYPRESS ST

    MANCHESTER, NH 031033628

    Phone: (603) 668-4111

    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.

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 01810)

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Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1619195872 as the unique 10-digit identifier.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Other Service Providers. Clinical services aligned with this taxonomy classification.
Where in Massachusetts is Unknown Individual registered?
Use Andover, Massachusetts as the headline location for Unknown Individual here.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

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