Unknown Individual – Neuromusculoskeletal Medicine & OMM Physician, NPI 1366401945

Neuromusculoskeletal Medicine & OMM Physician

Unknown Individual is a healthcare provider. based in Warren, New Jersey. specializing in Neuromusculoskeletal Medicine & OMM Physician. They hold a License No. MA36548 (NJ). The NPI Number for Unknown Individual is 1366401945

Main info

Organization

Inactive

Name

Unknown Individual

NPI

1366401945

Phone

(908) 769-8555

Address

5 MOUNTAIN BLVD

Deactivation Date

27 September 2023

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

5, Mountain Boulevard, Warrenville, Warren Township, Somerset County, New Jersey, 07059, United States
WARREN, NJ 070595650
Phone: (908) 769-8555
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 07059)

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Provider's Procedures

Unknown Individual performs procedures in Neuromusculoskeletal Medicine & OMM Physician. See the list of HCPCS codes below.

Specialty	Practice State	HCPCS Code	Description	Service Count	Beneficiary Count
NEUROLOGY	NJ	93922	Ultrasound study of arteries of both arms and legs	43	42
NEUROLOGY	NJ	95819	Measurement and recording of brain wave (EEG) activity, awake and asleep	30	17

Reviews

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Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?

Yes — Unknown Individual has NPI 1366401945 on file in the registry.

Who updates status for Unknown Individual?

NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.

What clinical focus is listed for Unknown Individual?

At a glance, Unknown Individual is tied to Neuromusculoskeletal Medicine & OMM Physician. Clinical services aligned with this taxonomy classification.

Where in New Jersey is Unknown Individual registered?

Use Warren, New Jersey as the headline location for Unknown Individual here.

Does inactive status remove historical data?

Historical rows can remain visible after status changes — read the dates carefully.