Organization Active NPI

Mohit Modgil DDS PLLC

  • Dentist
  • Bayport, NY
National Provider Identifier
1851744544
Registry record updated Aug 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
MOHIT MODGIL DDS PLLC
Practice address
594 Montauk Hwy
Bayport, NY 11705-1628
Phone
(631) 472-3333
NPI assigned
Jul 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2016

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

Authorized official

Name
Mohit Modgil, DDS
Title
Owner
Phone
(631) 472-3333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

594 Montauk Hwy
Bayport, NY 11705-1628

Mailing address

594 Montauk Hwy
Bayport, NY 11705-1628
Phone (631) 472-3333

National Provider Directory

National Provider Directory

Locations

594 Montauk Hwy
Bayport, NY 11705
Phone (631) 472-3333

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1468800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470873600000",
    "number": "1851744544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "594 MONTAUK HWY",
            "city": "BAYPORT",
            "state": "NY",
            "postal_code": "117051628",
            "telephone_number": "631-472-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "594 MONTAUK HWY",
            "city": "BAYPORT",
            "state": "NY",
            "postal_code": "117051628",
            "telephone_number": "631-472-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHIT MODGIL DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-18",
        "last_updated": "2016-08-11",
        "status": "A",
        "authorized_official_last_name": "MODGIL",
        "authorized_official_first_name": "MOHIT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-472-3333",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2016; 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.