Unknown Individual – Public Health & General Preventive Medicine Physician, NPI 1922003755

Unknown Individual is a healthcare provider. based in Nyack, New York. specializing in Public Health & General Preventive Medicine Physician. They hold a License No. 135568 (NY). The NPI Number for Unknown Individual is 1922003755

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1922003755
Phone
(212) 305-2447
Address
265 N BROADWAY
Deactivation Date
26 February 2026
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 265, North Broadway, Nyack, Town of Orangetown, Rockland County, New York, 10960, United States

    NYACK, NY 109601620

    Phone: (212) 305-2447

    Type: Mailing

  • 168th Street, 630, West 168th Street, Washington Heights, Manhattan Community Board 12, Manhattan, New York County, New York, 10032, United States

    NEW YORK, NY 100323702

    Phone: (212) 305-2447

    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.

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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.

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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 10960)

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Reviews

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Frequently asked questions

What is the standard ID for Unknown Individual in the U.S.?
In the U.S., Unknown Individual is identified by NPI 1922003755.
Should I call the clinic if Unknown Individual is inactive here?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
How should patients interpret Unknown Individual's specialty?
The extract shows Public Health & General Preventive Medicine Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Nyack, New York?
If you are local to Nyack, New York, Unknown Individual may be relevant to your search.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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