Sejal Modi
Individual provider Active NPI Pharmacist · Dayton, NJ
NPI 1750601902 · NPPES record last updated Jun 9, 2010
Key facts
- NPI
- 1750601902
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 28RI02964700 (NJ)
- Practice address
- 502 Major Rd
Dayton, NJ 08810-1315 - Phone
- (732) 274-0081
- NPI assigned
- Jun 9, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI02964700 | NJ | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI02964700 | NJ | Yes |
Addresses
Primary practice location
502 Major Rd
Dayton, NJ 08810-1315
Mailing address
502 Major Rd
Dayton, NJ 08810-1315
Phone (732) 274-0081
Other providers in Dayton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 9, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.