Unknown Individual – Family Medicine Physician, NPI 1730170036

Unknown Individual is a healthcare provider. based in Somerville, Massachusetts. specializing in Family Medicine Physician. They hold a License No. 78858 (MA). The NPI Number for Unknown Individual is 1730170036

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1730170036
Phone
(617) 625-0006
Address
645 BROADWAY
Deactivation Date
17 April 2025
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

  • 645, Broadway, Ball Square, Somerville, Middlesex County, Massachusetts, 02145, United States

    VINCENT J PATALANO MD

    SOMERVILLE, MA 021452528

    Phone: (617) 625-0006

    Fax: (617) 625-6644

    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 02145)

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Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1730170036 for Unknown Individual, then check state licensing separately.
Is Unknown Individual excluded from programs when inactive?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is Somerville, Massachusetts in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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