Morteza Modaber, M.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

308245 Issued in NY

Practice address

13420 Jamaica Ave FL 1
Jamaica, NY 11418-2619

Phone

(718) 206-6742

Fax

(718) 206-6905

NPI assigned

Apr 18, 2016

Last updated

Nov 19, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Neurology

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jamaica HospitalGroup PAC ID 2264324334, 252 clinicians

TJH Medical Services PCGroup PAC ID 8527960533, 215 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Jamaica Hospital Medical Center Hospital, Jamaica, NY, CCN 330014
• Flushing Hospital Medical Center Hospital, Flushing, NY, CCN 330193

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Interoperability endpoints

• Direct secure messaging: mmodaber109935@direct.medisys.org
• Direct secure messaging: mmodaber2268874@direct.casso.us.com

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.

• Jamaica Hospital

  dba Jamaica Hospital Emergency Department - Radiology

  • Emergency Medical Services (Emergency Medicine) Physician
  • Jamaica, NY
  • NPI 1477505220
  Medicare reassignment Care Compare group NPD
• TJH Medical Services, P.C.

  • Internal Medicine Physician
  • Jamaica, NY
  • NPI 1184670465
  Medicare reassignment Care Compare group NPD
• Jamaica Hospital

  • Skilled Nursing Facility
  • Jamaica, NY
  • NPI 1750516795
  NPD
• Jamaica Hospital

  • General Acute Care Hospital
  • Richmond Hill, NY
  • NPI 1245370717
  NPD (past)
• The Schulman and Schachne Institute for Nursing and Rehabilitation Inc.

  dba Schulman and Schachne Inst Nursing and Rehab

  • Long Term Care Pharmacy
  • Brooklyn, NY
  • NPI 1578579124
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Flushing Hospital & Medical Center

  • General Acute Care Hospital
  • Flushing, NY
  • NPI 1154461622
  Care Compare affiliation
• Flushing Hospital & Medical Center

  • General Acute Care Hospital
  • Flushing, NY
  • NPI 1548217763
  Care Compare affiliation
• Jamaica Hospital

  • General Acute Care Hospital
  • Richmond Hill, NY
  • NPI 1245370717
  Care Compare affiliation

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

{
    "created_epoch": "1460937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1528412368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8906 135TH ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114182828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13420 JAMAICA AVE FL 1",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114182619",
            "telephone_number": "718-206-6742",
            "fax_number": "718-206-6905"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17660 Union Tpke Ste 115",
            "address_purpose": "LOCATION",
            "city": "Fresh Meadows",
            "state": "NY",
            "postal_code": "113661531",
            "country_code": "US",
            "telephone_number": "718-206-8080",
            "fax_number": "718-206-8549",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MODABER",
        "first_name": "MORTEZA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-18",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "308245",
            "primary": true
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "NY",
            "license": "308245",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MKN Occupational Therapy PLLC
• Nikol Mladkova, M.D., M.P.H., PH.D.
• Mmagloire Inc. (All You Need Home Care Agency)
• Mobile Medical Supplies & Services Inc
• Mobile Podiatry PC
• Jill Modi, PHARMD
• Rishi Modi, MD
• Eleni S. Modinos, DPT
• Kiah Marie Moe
• Lisa F Mohamed Singh, FNP

• Neurology Physician in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Neurology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; 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.