Unknown Individual – Specialist, NPI 1366417008

Unknown Individual is a healthcare provider. based in East brunswick, New Jersey. specializing in Specialist. They hold a License No. 000021 (NJ). The NPI Number for Unknown Individual is 1366417008

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1366417008
Phone
(732) 613-1618
Address
68 HILLTOP BLVD
Deactivation Date
20 January 2022
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

  • 68, Hilltop Boulevard, Country Lane, Fairview Knolls, East Brunswick Township, Middlesex County, New Jersey, 08816, United States

    EAST BRUNSWICK, NJ 088162836

    Phone: (732) 613-1618

    Type: Mailing

  • East Brunswick High School, 380, Cranbury Road, Tanners Corner, Orchard Heights, East Brunswick Township, Middlesex County, New Jersey, 08816, United States

    EAST BRUNSWICK, NJ 088162836

    Phone: (732) 613-1618

    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 08816)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1366417008?
NPI 1366417008 belongs to Unknown Individual; compare other details if you need extra assurance.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Other Service Providers. Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use East Brunswick, New Jersey as the reference point for Unknown Individual, then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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