Active NPIIndividual provider

Dr. Nita Modi, MD

Specialist in Newark, New Jersey

NPI Number1023016771
Practice location
111 Central Ave, Newark, NJ 07102-1909
Fax
—
Last updated
March 19, 2015

Nita Modi is a Specialist based in Newark, NJ. Nita Modi practices in Newark, NJ and has the professional credentials of MD. The NPI Number for Nita Modi is 1023016771 and holds a License No. MA61617 (NJ). The current practice location address for Nita Modi is 111 Central Ave, Newark, NJ 07102-1909 and can be reached out via phone at 973-877-5000.

Provider Profile Details

NPI Number
1023016771
Provider Name
Nita Modi
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
111 Central Ave, Newark, NJ 07102-1909
Phone Number
973-877-5000
Primary Taxonomy
Specialist · 174400000X
Sole Proprietor
No
Provider Enumeration Date
July 7, 2005
Last Update Date
March 19, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
111 Central Ave
Newark, NJ 07102-1909
City
Newark
Zip
07102-1909
Phone Number
973-877-5000
Newark, NJ 07102Get directions →

Provider Business Mailing Address Details

Address
3998 Fair Ridge Dr
Ste 300
Fairfax, VA 22033-2921
City
Fairfax
State
VA
Zip
22033-2921
Phone Number
703-295-9360
Fax Number
703-766-9725

License Information

License Number
MA61617
License State
NJ
Taxonomy
Specialist · 174400000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Nita Modi, MD?

The NPI number of Dr. Nita Modi, MD is 1023016771. It was assigned on July 7, 2005 and is currently active in the NPPES registry.

What is the specialty of Dr. Nita Modi, MD?

Dr. Nita Modi, MD is registered under the primary taxonomy Specialist (code 174400000X), licensed in NJ under license number MA61617.

Where does Dr. Nita Modi, MD practice?

The practice location is 111 Central Ave, Newark, NJ 07102-1909. The office can be reached at 973-877-5000 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1023016771 directly on the NPPES registry website.

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