Active NPI
Devas J. Modi, DO
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Wayne, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- 25MA12139700
- Practice address
- 1680 Route 23 Ste 250
Wayne, NJ 07470-7520 - Phone
- (873) 346-1122
- Fax
- (973) 633-9922
- NPI assigned
- May 20, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | 25MA12139700 | NJ | Primary |
Addresses
Primary practice location
1680 Route 23 Ste 250
Wayne, NJ 07470-7520
Mailing address
1680 Route 23 Ste 250
Wayne, NJ 07470-7520
Phone (873) 346-1122
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- Rowan University School of Osteopathic Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1680 Route 23
Suite 250
Wayne, NJ 07470-7520
Phone (201) 445-9327
Hospital & facility affiliations
- Jersey City Medical Center
- Chilton Medical Center
- St Joseph'S University Medical Center Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Jersey Spine Group LLC | Current | Accepting new patients |
Locations
255 Brunswick St
Ste 104
Jersey City, NJ 07302
Phone (973) 633-1122
10 Madison Ave
Ste 201
Morristown, NJ 07960
Phone (973) 633-1122
1680 State Route 23
Ste 250
Wayne, NJ 07470
Phone (201) 445-9327
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GBIDAD
Organizations & group practices 1
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.
-
- Neurological Surgery Physician
- Wayne, NJ
- NPI 1841375300
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pompton Plains, NJ
- NPI 1811994809
-
- General Acute Care Hospital
- Jersey City, NJ
- NPI 1689744856
-
- General Acute Care Hospital
- Paterson, NJ
- NPI 1669462420
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724198400000",
"number": "1629635255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1680 ROUTE 23 STE 250",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074707520",
"telephone_number": "873-346-1122",
"fax_number": "973-633-9922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1680 ROUTE 23 STE 250",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074707520",
"telephone_number": "873-346-1122",
"fax_number": "973-633-9922"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MODI",
"first_name": "DEVAS",
"middle_name": "J.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-05-20",
"last_updated": "2024-08-21",
"certification_date": "2024-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "NJ",
"license": "25MA12139700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wayne, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.