Sagar M Modh

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

26NJ15204200 Issued in NJ

Practice address

15 Hopkinson LN
Somerset, NJ 08873-7460

Phone

(732) 491-7312

NPI assigned

Nov 8, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jersey Med WellGroup PAC ID 1557870235, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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 and National Provider Directory roles.

• Jersey Med Well

  • Anesthesiology Physician
  • Manasquan, NJ
  • NPI 1356133409

  Family

  Medicare reassignment Care Compare group NPD
• Bastidas Plastic Surgery, PC

  • Plastic Surgery Physician
  • Paterson, NJ
  • NPI 1053724674
  Medicare reassignment NPD
• Promed Preferred NJ P.C.

  • Internal Medicine Physician
  • Toms River, NJ
  • NPI 1578327722
  Medicare reassignment NPD

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

{
    "created_epoch": "1731024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1295559102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 HOPKINSON LN",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088737460",
            "telephone_number": "732-491-7312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 HOPKINSON LN",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088737460",
            "telephone_number": "732-491-7312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MODH",
        "first_name": "SAGAR",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-11-08",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ15204200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Rachel Misrahi, OTR/L
• Mousumi Seal Mitra, FNP
• Bharath Kumar Mittapalli, M.D.
• Mobile First LLC
• Pooja M Modh, MSN,FNP-C,BSN,RN,CEN
• Devang H Modi, DMD
• Rachel Modiano, PSY.D.
• Faith Marlene Mogila, SCD
• Abdelrahman Mohamed Ewis, RPH
• Anthony John Molesphini, D.M.D.

• Family Nurse Practitioner in Somerset, NJ
• Providers in Somerset, NJ by specialty
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.