DR. NITA MODI MD
NPI 1023016771
Specialist in Newark, NJ

Q: What is Nita Modi's NPI number?

The NPI number for Nita Modi is 1023016771. It was assigned to this individual provider in the NPPES registry on July 7, 2005.

Q: What is Nita Modi's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Nita Modi was last updated on March 19, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 07, 2005PECOS Enrolled

111 CENTRAL AVE, NEWARK, NJ 07102(973) 877-5000 Get Directions Write a Review

NPPES record last updated: March 19, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Nita Modi Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. NITA MODI MD (NPI 1023016771) is an individual specialist in Newark, New Jersey, licensed in New Jersey (MA61617) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023016771

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NameDR. NITA MODICredential: MD

Location Address111 CENTRAL AVENewark, NJ 07102-1909

Mailing Address3998 Fair Ridge Dr, Ste 300Fairfax, VA 22033-2921 · (703) 295-9360 · Fax (703) 766-9725

Phone(973) 877-5000

Sole ProprietorNo

Enumeration DateJuly 7, 2005

Last NPPES UpdateMarch 19, 2015

✔ NPI 1023016771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in NJ · MA61617

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

111 CENTRAL AVE, Newark, NJ 07102

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Other Identifiers 3

Medicare UPING21377NJ

Medicaid6670601NJ

Medicare PIN840004NJ

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nita Modi Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.