Individual provider Active NPI

Sangita P Modi, MD

  • Pediatrics Physician
  • Newark, DE
National Provider Identifier
1124104021
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
CI0005951 Issued in DE
Practice address
314 East Main St
Suite 101 Kelway Plaza
Newark, DE 19711
Phone
(302) 737-3281
Fax
(302) 738-4800
NPI assigned
Oct 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X CI0005951 DE Primary

Addresses

Primary practice location

314 East Main St
Suite 101 Kelway Plaza
Newark, DE 19711

Mailing address

9 Harvest Line
Hockessin, DE 19709
Phone (302) 738-4800

Other identifiers 1

IdentifierTypeStateIssuer
0001117301MedicaidDE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
CI0005951DEMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advocare, LLC Pediatrics Past Accepting new patients
Newark Pediatrics PA Pediatrics Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BEBJBA
  • FHIR API: https://fhir4.healow.com/fhir/r4/BEBJBA/Endpoint/BEBJBA
  • Direct secure messaging: sangita.modi@advocaredoctors.eclinicaldirectplus.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124104021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 HARVEST LINE",
            "city": "HOCKESSIN",
            "state": "DE",
            "postal_code": "19709",
            "telephone_number": "302-738-4800",
            "fax_number": "302-738-8750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 EAST MAIN ST",
            "address_2": "SUITE 101 KELWAY PLAZA",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "19711",
            "telephone_number": "302-737-3281",
            "fax_number": "302-738-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MODI",
        "first_name": "SANGITA",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "DE",
            "license": "CI0005951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0001117301",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.