Unknown Individual – Medical Physician Assistant, NPI 1902955339

Unknown Individual is a healthcare provider. based in Norwell, Massachusetts. specializing in Medical Physician Assistant. They hold a License No. 107 (MA). The NPI Number for Unknown Individual is 1902955339

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1902955339
Phone
(781) 659-1800
Address
99 LONGWATER CIR
Deactivation Date
3 April 2024
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

  • 99, Longwater Circle, Norwell, Plymouth County, Massachusetts, 02061, United States

    NORWELL, MA 020611642

    Phone: (781) 659-1800

    Fax: (781) 659-7221

    Type: Location

  • Salem Post Office, 2;4, Margin Street, Downtown Salem District, Salem, Essex County, Massachusetts, 01970, United States

    SALEM, NH 030791143

    Phone: (603) 212-9600

    Fax: (603) 212-9601

    Type: Mailing

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.

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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 02061)

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Reviews

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Frequently asked questions

Does Unknown Individual have a public NPI I can cite?
Public records show Unknown Individual under NPI 1902955339.
Does inactive mean outdated data for Unknown Individual?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 Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
What city is tied to Unknown Individual?
The directory associates Unknown Individual with Norwell, Massachusetts. Check all listed addresses for suites or satellite offices.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.

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