Active NPI
Smita Modi, M.D.
- Neurology Physician
- Iselin, NJ
National Provider Identifier
1851324693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 25MA02777800
- Practice address
- 1407 Oak Tree Rd
Iselin, NJ 08830-1625 - Phone
- (732) 283-3311
- Fax
- (732) 283-3525
- NPI assigned
- Jul 7, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 25MA02777800 | NJ | Primary |
Addresses
Primary practice location
1407 Oak Tree Rd
Iselin, NJ 08830-1625
Mailing address
1407 Oak Tree Rd
Iselin, NJ 08830-1625
Phone (732) 283-3311
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2871505 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA02777800 | NJ | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1851324693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1407 OAK TREE RD",
"city": "ISELIN",
"state": "NJ",
"postal_code": "088301625",
"telephone_number": "732-283-3311",
"fax_number": "732-283-3525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1407 OAK TREE RD",
"city": "ISELIN",
"state": "NJ",
"postal_code": "088301625",
"telephone_number": "732-283-3311",
"fax_number": "732-283-3525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MODI",
"first_name": "SMITA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-07",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NJ",
"license": "25MA02777800",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2871505",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Iselin, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.