Raj Modi M.D. P.C

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

154743 Issued in NY

Legal business name

RAJ MODI M.D. P.C

Practice address

55 44 Metropolitan Ave.
Ridgewood, NY 11385-1221

Phone

(718) 456-2020

Fax

(718) 821-5342

NPI assigned

Jan 26, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Rajendra Modi, M.D.NPI 1902895733

Title

Physician

Phone

(718) 456-2020

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

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

• Rajendra Kumar Modi, M.D.

  • Ophthalmology Physician
  • Ridgewood, NY
  • NPI 1902895733
  Medicare reassignment NPD Authorized official
• Dennis M Metz, MD

  • Ophthalmology Physician
  • Brooklyn, NY
  • NPI 1063519775
  Medicare reassignment NPD

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

{
    "created_epoch": "1296000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308009600000",
    "number": "1952606774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 44 METROPOLITAN AVE.",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113851221",
            "telephone_number": "718-456-2020",
            "fax_number": "718-821-5342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 44 METROPOLITAN AVE.",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113851221",
            "telephone_number": "718-456-2020",
            "fax_number": "718-821-5342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAJ MODI M.D. P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-26",
        "last_updated": "2011-06-14",
        "status": "A",
        "authorized_official_last_name": "MODI",
        "authorized_official_first_name": "RAJENDRA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "718-456-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "154743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "DS376",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03315235",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BCBS",
            "identifier": "738B51",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ELDERPLAN",
            "identifier": "171837",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• R & I Optical
• R E V E a L
• Ra Dental Care PC
• Radiology Interpretation Technology PLLC
• Manar Ragy
• Rajann Optics Inc.
• Rajinder Uppal PC
• Joslynn Ramos, LCSW
• Danielle Rapino
• Red Core PT Pta and Rehabilitation PLLC

• Ophthalmology Physician in Ridgewood, NY
• Providers in Ridgewood, NY by specialty
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.