Unknown Individual – Internal Medicine Physician, NPI 1891780243

Unknown Individual is a healthcare provider. based in Randolph, New Jersey. specializing in Internal Medicine Physician. They hold a License No. 25MB07980800 (NJ). The NPI Number for Unknown Individual is 1891780243

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1891780243
Phone
(973) 343-7765
Address
61 MEADOWBROOK RD
Deactivation Date
2 October 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 61, Meadowbrook Road, Shongum, Randolph Township, Morris County, New Jersey, 07869, United States

    RANDOLPH, NJ 078693800

    Phone: (973) 343-7765

    Type: Mailing

  • Chilton Medical Center, 97, West Parkway, Pompton Plains, Pequannock Township, Morris County, New Jersey, 07444, United States

    POMPTON PLAINS, NJ 074441647

    Phone: (973) 851-5000

    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 07869)

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Reviews

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Frequently asked questions

How is Unknown Individual identified in CMS data?
CMS-hosted NPPES data lists Unknown Individual with NPI 1891780243.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What area does Unknown Individual serve?
Unknown Individual's listing highlights Randolph, New Jersey; more addresses can appear in NPPES.
Is the information about Unknown Individual up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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