Koral A Modi, DMD
Dentist in South Amboy, New Jersey
1962986422- Practice location
- 441 Gordon St, South Amboy, NJ 08879-1513
- Phone
- 732-727-0474
- Fax
- —
- Last updated
- September 18, 2024
Koral A Modi is a Dentist based in South Amboy, NJ. Koral A Modi practices in South Amboy, NJ and has the professional credentials of DMD. The NPI Number for Koral A Modi is 1962986422 and holds a License No. 22D102731800 (NJ). The current practice location address for Koral A Modi is 441 Gordon St, South Amboy, NJ 08879-1513 and can be reached out via phone at 732-727-0474.
Provider Profile Details
- NPI Number
- 1962986422
- Provider Name
- Koral A Modi
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 441 Gordon St, South Amboy, NJ 08879-1513
- Phone Number
- 732-727-0474
- Primary Taxonomy
- Dentist · 122300000X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 20, 2018
- Last Update Date
- September 18, 2024
- Certification Date
- September 18, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 441 Gordon St
South Amboy, NJ 08879-1513 - City
- South Amboy
- State
- New Jersey
- Zip
- 08879-1513
- Phone Number
- 732-727-0474
Provider Business Mailing Address Details
- Address
- 441 Gordon St
South Amboy, NJ 08879-1513 - City
- South Amboy
- State
- NJ
- Zip
- 08879-1513
- Phone Number
- 732-727-0474
License Information
- License Number
- 22D102731800
- License State
- NJ
- Taxonomy
- Dentist · 122300000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Koral A Modi, DMD?
The NPI number of Koral A Modi, DMD is 1962986422. It was assigned on September 20, 2018 and is currently active in the NPPES registry.
What is the specialty of Koral A Modi, DMD?
Koral A Modi, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in NJ under license number 22D102731800.
Where does Koral A Modi, DMD practice?
The practice location is 441 Gordon St, South Amboy, NJ 08879-1513. The office can be reached at 732-727-0474 (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 1962986422 directly on the NPPES registry website.