Individual provider Active NPI

Keyur Modi

  • General Practice Dentistry
  • Robbinsville, NJ
National Provider Identifier
1255869616
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DI02686700 Issued in NJ
Practice address
1 Washington Blvd Ste 8
Robbinsville, NJ 08691-3162
Phone
(609) 490-1616
Fax
(609) 490-1617
NPI assigned
May 30, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 22DI02686700 NJ Primary

Addresses

Primary practice location

1 Washington Blvd Ste 8
Robbinsville, NJ 08691-3162

Mailing address

1 Washington Blvd Ste 8
Robbinsville, NJ 08691-3162
Phone (609) 490-1616

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180814002429 NJ Order and Referring Only - DentistPractitioner - Dentist 4284983933

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Care Dental LLC General Practice CurrentSince Mar 12, 2023 Accepting new patients
Town Center Dental L.L.C. Past Accepting new patients

Locations

1 Washington Blvd
Ste 8
Robbinsville, NJ 08691
Phone (609) 490-1616

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": "1496102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1255869616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WASHINGTON BLVD STE 8",
            "city": "ROBBINSVILLE",
            "state": "NJ",
            "postal_code": "086913162",
            "telephone_number": "609-490-1616",
            "fax_number": "609-490-1617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WASHINGTON BLVD STE 8",
            "city": "ROBBINSVILLE",
            "state": "NJ",
            "postal_code": "086913162",
            "telephone_number": "609-490-1616",
            "fax_number": "609-490-1617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MODI",
        "first_name": "KEYUR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-30",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02686700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Robbinsville, NJ

Sources for this page

Verify at the official NPI Registry.