Unknown Individual – Anesthesiology Physician, NPI 1477516136

Unknown Individual is a healthcare provider. based in Ridgewood, New Jersey. specializing in Anesthesiology Physician. They hold a License No. 25MA02292000 (NJ). The NPI Number for Unknown Individual is 1477516136

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1477516136
Phone
(201) 447-8350
Address
223 NORTH VAN DIEN STREET
Deactivation Date
24 August 2021
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

Provider Addresses for Unknown Individual

  • 223 NORTH VAN DIEN STREET

    RIDGEWOOD, NJ 07450

    Phone: (201) 447-8350

    Fax: (201) 447-8390

    Type: Location

  • West Main Street, Abma's Farm, Wyckoff, Bergen County, New Jersey, 07481, United States

    SUITE 16

    WYCKOFF, NJ 074811439

    Phone: (201) 847-9320

    Fax: (201) 847-0059

    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

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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 ·

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 07450)

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Reviews

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Frequently asked questions

Where can patients find Unknown Individual's NPI?
You can confirm Unknown Individual with NPI 1477516136; it appears in the national provider directory.
Should I trust care from Unknown Individual if status is inactive?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Anesthesiology Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists Ridgewood, New Jersey for Unknown Individual; download NPPES for the complete set.
What if Ridgewood, New Jersey seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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