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ROSANNA MODESTO MD PA
NPI 1427494954
Internal Medicine in Teaneck, NJ

Active since May 10, 2013
773 TEANECK RD, TEANECK, NJ 07666(201) 837-7662 Get Directions Write a Review

NPPES record last updated: January 2, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Rosanna Modesto Md Pa NPPES

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

ROSANNA MODESTO MD PA (NPI 1427494954) is a healthcare organization registered as an internal medicine in Teaneck, New Jersey and active in the NPI registry since May 2013. The organization lists Rosanna Modesto, Owner, as its authorized official.

NPPES Registry Identity

NPI1427494954
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameROSANNA MODESTO MD PA
Location Address773 TEANECK RDTeaneck, NJ 07666-4846
Mailing Address773 Teaneck RdTeaneck, NJ 07666-4846 · (201) 837-7662
Phone(201) 837-7662
Organization SubpartNo
Authorized OfficialRosanna ModestoOwner · (201) 837-7662
Enumeration DateMay 10, 2013
Last NPPES UpdateJanuary 2, 2025
NPPES CertifiedJanuary 2, 2025
✔ NPI 1427494954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
773 TEANECK RD, Teaneck, NJ 07666
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rosanna Modesto Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew JerseyEnrollment IDO20140204001923Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Rosanna Modesto MD PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Rosanna Modesto, MD
Internal Medicine
NPI 1306856778
773 TEANECK ROAD
Teaneck, NJ 07666
(201) 837-7662
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rosanna Modesto MD PA's NPI number?

The NPI number for Rosanna Modesto MD PA is 1427494954. It was assigned to this organization in the NPPES registry on May 10, 2013.

Where is Rosanna Modesto MD PA located?

Rosanna Modesto MD PA is located at 773 Teaneck Rd, Teaneck, NJ 07666. The listed phone number is (201) 837-7662.

What is Rosanna Modesto MD PA's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Rosanna Modesto MD PA enrolled in Medicare?

Yes. Rosanna Modesto MD PA is registered in the Medicare PECOS enrollment system.

When is Rosanna Modesto MD PA's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New Jersey, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Rosanna Modesto MD PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Rosanna Modesto MD PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Rosanna Modesto MD PA was last updated on January 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.