NPIMap

Individual provider Active NPI

Saul Michael Modlin, MD

  • Otolaryngology Physician
  • Garden City, NY
National Provider Identifier
1013960210
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
179353 Issued in MD
Practice address
300 Garden City Plaza
Suite 248
Garden City, NY 11530-3330
Phone
(516) 739-0333
Fax
(516) 739-0344
NPI assigned
May 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 179353 MD Primary

Addresses

Primary practice location

300 Garden City Plaza
Suite 248
Garden City, NY 11530-3330

Mailing address

300 Garden City Plaza
Suite 248
Garden City, NY 11530-3330
Phone (516) 739-0333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100108000611 NY Practitioner - Otolaryngology 1658437207 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

300 Garden City PLZ
Suite 248
Garden City, NY 11530-3330
Phone (516) 739-0333

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
179353MDMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saul M. Modlin M.D., P.C. CurrentSince Sep 21, 2009 Accepting new patients

Locations

300 Garden City Plz
Ste 248
Garden City, NY 11530
Phone (516) 739-0333

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1013960210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 GARDEN CITY PLAZA",
            "address_2": "SUITE 248",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115303330",
            "telephone_number": "516-739-0333",
            "fax_number": "516-739-0344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 GARDEN CITY PLAZA",
            "address_2": "SUITE 248",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115303330",
            "telephone_number": "516-739-0333",
            "fax_number": "516-739-0344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MODLIN",
        "first_name": "SAUL",
        "middle_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MD",
            "license": "179353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

Verify at the official NPI Registry.