Modern Ritual Health PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

MODERN RITUAL HEALTH PC

Practice address

104 Ukiah LN
Chapel Hill, NC 27514-1474

Phone

(919) 270-1525

NPI assigned

Sep 27, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Beth Goodrich Goldstein, MD

Title

President

Phone

(919) 270-1525

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1664236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664236800000",
    "number": "1356065080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 UKIAH LN",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275141474",
            "telephone_number": "919-270-1525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 UKIAH LN",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275141474",
            "telephone_number": "919-270-1525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN RITUAL HEALTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-27",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A",
        "authorized_official_last_name": "GOLDSTEIN",
        "authorized_official_first_name": "BETH",
        "authorized_official_middle_name": "GOODRICH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-270-1525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.getmr.com",
            "affiliation": "Y",
            "endpointDescription": "practice website address",
            "affiliationName": "Metaoptima Inc",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "connectivity",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "n/a",
            "address_1": "104 Ukiah Ln",
            "city": "Chapel Hill",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275141474",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Megan Clarke Mobley, P.T.
• Michelle F Mobley
• Jason Robert Mock, M.D., PH.D.
• Nadeem Y Modan, M.D.
• Modern Ritual Health PC
• Jaymin J Modi, DO
• Priya Mody, M.D.
• Michelle Anne Moffa, MD
• Mubarik Bashir Mohamed, MD
• Ibrahim Alhaji Mohammed, MD

• Dermatology Physician in Chapel Hill, NC
• Providers in Chapel Hill, NC by specialty
• Dermatology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; 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.