Cynthia Jean Modny, M.D.

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

License

22577 Issued in AZ

Practice address

2402 E San Miguel Ave
Phoenix, AZ 85016-2815

Phone

(602) 224-5554

NPI assigned

Dec 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• West Dermatology of Arizona, Inc

  • Dermatology Physician
  • Mesa, AZ
  • NPI 1902850597
  NPD (past)
• J Robert West, M.D., Inc

  • Dermatology Physician
  • Newport Beach, CA
  • NPI 1932154788

  Procedural Dermatology

  NPD (past)

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871653840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2402 E SAN MIGUEL AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850162815",
            "telephone_number": "602-224-5554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2402 E SAN MIGUEL AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850162815",
            "telephone_number": "602-224-5554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MODNY",
        "first_name": "CYNTHIA",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "AZ",
            "license": "22577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Modern Tinnitus LLC
• Modest Dentistry LLC
• Amanda Modesta Keyhani, MD
• Bhavan Modi, MD
• Sagar Modi, MD
• Kartik Mody
• Mital Abhijeet Mody
• Carlos Moe, DO
• Danette Moe, DPT
• Elizabeth Moe

• Procedural Dermatology Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Procedural Dermatology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.