Unknown Individual – Internal Medicine Physician, NPI 1124360128

Unknown Individual is a healthcare provider. based in Pennington, New Jersey. specializing in Internal Medicine Physician. The NPI Number for Unknown Individual is 1124360128

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1124360128
Phone
(609) 890-1050
Address
11 TARA WAY
Deactivation Date
18 May 2023
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience10
Completeness75
Years active:0State licenses:0Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 11 TARA WAY

    PENNINGTON, NJ 085342100

    Phone: (609) 890-1050

    Fax: (609) 890-0950

    Type: Mailing

  • 1601 WHITEHORSE MERCERVILLE RD

    SUITE 4

    HAMILTON, NJ 086193836

    Phone: (609) 890-1050

    Fax: (609) 890-0950

    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.

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 08534)

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Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1124360128 when you need to reference Unknown Individual in forms, claims, or directories.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Pennington, New Jersey for Unknown Individual based on available NPPES addresses.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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