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DR. SHAILJA MODI DO
NPI 1477180263
Pediatrics in Edison, NJ

Active since March 24, 2020PECOS Enrolled

NPPES record last updated: October 31, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

NPI1477180263
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. SHAILJA MODICredential: DO
Location Address65 JAMES STEdison, NJ 08820
Mailing Address331 Newman Springs Rd, Bldg 2, Ste 220Red Bank, NJ 07701-5688
Phone(732) 321-7641
Sole ProprietorNo
Enumeration DateMarch 24, 2020
Last NPPES UpdateOctober 31, 2024
NPPES CertifiedOctober 31, 2024
✔ NPI 1477180263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NJ · 25MB11619200
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
65 JAMES ST, Edison, NJ 08820
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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. Shailja Modi Do 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.

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.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. LAMA EL ZEIN M.D
Family Medicine
65 JAMES ST
EDISON, NJ 08820
Middlesex County (732) 321-7487
MARLINE SPENCER RN, MSN, NP-C
Nurse Practitioner (Gerontology)
65 JAMES ST
EDISON, NJ 08820
Middlesex County (732) 744-5537
MARIA P MASIH MD
Family Medicine
65 JAMES ST
EDISON, NJ 08820
Middlesex County (732) 321-7487
KRISSA MATARLO-SMITH APN
Nurse Practitioner (Adult Health)
65 JAMES ST
EDISON, NJ 08820
Middlesex County (732) 321-7733
ASHLEY MARGARITONDO DPT
Physical Therapist
65 JAMES ST
EDISON, NJ 08820
Middlesex County (732) 321-7000
MICHAEL D. CALI MD
Emergency Medicine
65 JAMES ST
EDISON, NJ 08820
Middlesex County (732) 321-7000
STACEY JOU MD
Physical Medicine & Rehabilitation (Brain Injury Medicine)
65 JAMES ST
EDISON, NJ 08820
Middlesex County (732) 321-7070
MERARI SINGH APN
Nurse Practitioner
65 JAMES ST
EDISON, NJ 08820
Middlesex County (732) 321-7000

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.

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 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.