Phiroza S Modi, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

132332 Issued in NY

Practice address

355 Fishkill Ave
Beacon, NY 12508-2061

Phone

(718) 989-5550

Fax

(718) 454-8906

NPI assigned

Aug 7, 2006

Last updated

Feb 8, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Gramercy Medical Services P.C.

  • Internal Medicine Physician
  • Jamaica, NY
  • NPI 1639678428
  Medicare reassignment NPD

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328659200000",
    "number": "1275542243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139-16 91ST AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114354219",
            "telephone_number": "718-989-5550",
            "fax_number": "718-454-8906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 FISHKILL AVE",
            "city": "BEACON",
            "state": "NY",
            "postal_code": "125082061",
            "telephone_number": "718-989-5550",
            "fax_number": "718-454-8906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MODI",
        "first_name": "PHIROZA",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-07",
        "last_updated": "2012-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "132332",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "132332",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00547186",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meghan Mekeel
• Jessica Mercer-Lopez
• Felicia Eugenia Meyers
• Alicia E Michel, D.M.D
• Belmarie Millan Hernandez, L.AC.
• Celin Mora, LPN
• Sarah J Morgan, RN
• Laura Christine Morris, M.S., CCC-SLP
• Emily Lecompte Morrison, LAC
• Sagari Murali

• Internal Medicine Physician in Beacon, NY
• Providers in Beacon, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.