Unknown Individual – Neuromusculoskeletal Medicine & OMM Physician, NPI 1902892284

Unknown Individual is a healthcare provider. based in Salem, Massachusetts. specializing in Neuromusculoskeletal Medicine & OMM Physician. They hold a License No. 29497` (MA). The NPI Number for Unknown Individual is 1902892284

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1902892284
Phone
(978) 354-2795
Address
57 HIGHLAND AVE
Deactivation Date
15 November 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • MassGeneral for Children at North Shore Medical Center, 57, Highland Avenue, Federal Street District, Salem, Essex County, Massachusetts, 01970, United States

    SALEM, MA 019702141

    Phone: (978) 354-2795

    Fax: (978) 740-4748

    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 01970)

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Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1902892284 uniquely identifies Unknown Individual in U.S. healthcare data.
Does inactive mean outdated data for Unknown Individual?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.
How should patients interpret Unknown Individual's specialty?
The extract shows Neuromusculoskeletal Medicine & OMM Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Salem, Massachusetts?
If you are local to Salem, 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.