DR. SHAILJA MODI DO
NPI 1477180263
Pediatrics in Edison, NJ
About Dr. Shailja Modi Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SHAILJA MODI DO (NPI 1477180263) is an individual pediatrics provider in Edison, New Jersey, licensed in New Jersey (25MB11619200) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Shailja Modi Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Shailja Modi reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Morristown, NJ 07960
- Reassigned Medicare billing, New Jersey enrollment
- 1,699 clinicians in this Medicare group
Red Bank, NJ 07701
- Reassigned Medicare billing, New Jersey enrollment
- 2,844 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 08820 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
EDISON, NJ 08820
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 Shailja Modi's NPI number?
The NPI number for Shailja Modi is 1477180263. It was assigned to this individual provider in the NPPES registry on March 24, 2020.
Where is Shailja Modi located?
Shailja Modi practices at 65 James St, Edison, NJ 08820. The listed phone number is (732) 321-7641.
What is Shailja Modi's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Shailja Modi enrolled in Medicare?
Yes. Shailja Modi is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Shailja Modi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shailja Modi reassigns Medicare benefits to 2 organizations: Practice Associates Medical Group (Morristown, NJ) and Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ). Each 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 Shailja Modi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shailja Modi accept?
Health plans from Oscar Health list Shailja Modi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Shailja Modi was last updated on October 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.
# Dr. Shailja Modi, DO · NPI 1477180263
Pediatrics physician in Edison, New Jersey. Individual provider, active in the CMS NPPES registry since March 24, 2020.
## Identity
- **NPI:** 1477180263 (Entity type: Individual)
- **Enumerated:** March 24, 2020
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 25MB11619200 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 65 JAMES ST, Edison, NJ 08820
- **Phone:** (732) 321-7641
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Practice Associates Medical Group (NPI 1427016385, Morristown, NJ); Hackensack Meridian Health Medical Group - Specialty Care PC (NPI 1215989249, Red Bank, NJ) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 31, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1477180263) · Data from the CMS NPPES public registry.