KUNJAL MODI MD
NPI 1548689904
Ophthalmology in Jersey City, NJ

Q: What is Kunjal Modi's NPI number?

The NPI number for Kunjal Modi is 1548689904. It was assigned to this individual provider in the NPPES registry on April 14, 2014.

Q: What is Kunjal Modi's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Kunjal Modi was last updated on August 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.

Active since April 14, 2014PECOS EnrolledAccepts Medicare Assignment

94.8/100

CMS Quality Rating

203 PALISADE AVE, JERSEY CITY, NJ 07306(201) 653-5722(201) 653-6340 Get Directions Write a Review

NPPES record last updated: August 17, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

On this page

About Kunjal Modi Md NPPES

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

KUNJAL MODI MD (NPI 1548689904) is an individual ophthalmology provider in Jersey City, New Jersey, licensed in New Jersey (25MA10520900) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Rutgers R W Johnson Medical School (cam/new Bruns/pisc) (2014).

NPPES Registry Identity

NPI1548689904

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameKUNJAL MODICredential: MD

Location Address203 PALISADE AVEJersey City, NJ 07306-1155

Mailing Address28 Mountain Ridge DrLivingston, NJ 07039-3407 · (973) 747-8476

Phone(201) 653-5722

Fax(201) 653-6340

Sole ProprietorYes

Medical School CMSRutgers R W Johnson Medical School (cam/new Bruns/pisc)Graduated 2014

Enumeration DateApril 14, 2014

Last NPPES UpdateAugust 17, 2023

NPPES CertifiedAugust 17, 2023

✔ NPI 1548689904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in NJ · 25MA10520900

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

203 PALISADE AVE, Jersey City, NJ 07306

Open in Google Maps ↗

Secondary Practice Locations 2

Location 1594 BroadwayBayonne, NJ 07002-3819 · Phone (201) 858-5722 · Fax (201) 858-2566

Location 2727 Galloping Hill RdUnion, NJ 07083-8010 · Phone (908) 558-1717 · Fax (908) 558-1817

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kunjal Modi Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2062761299

PECOS Enrollment IDI20200103001927

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.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient problem focused exam of visual system 92012

This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.

426 services324 patients

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

369 services356 patients

Ultrasound scan to determine eye length and lens power 76519

An ultrasound scan for the eye is a safe, non-invasive procedure. It uses sound waves to create images of your eye's structure. This helps determine the length of your eye and the power of your lens, which is crucial for diagnosing eye conditions and planning surgeries.

255 services176 patients

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

211 services135 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

199 services193 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

170 services170 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07306 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

$144.86 typical visit price

range $63.84 – $190.92

Typical copayment $36.21 (range $15.96 – $47.73)

Most-billed visit code 99204

Established Patient

$79.09 typical visit price

range $20.97 – $155.92

Typical copayment $19.77 (range $5.24 – $38.98)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.8/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

100

Improvement Activities

Cost

72.82

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BETTY ANN CERVENAK M.D.

Ophthalmology

203 PALISADE AVE
JERSEY CITY, NJ 07306

Hudson County (201) 653-5722

DR. ANTHONY LOUIS PANARIELLO M.D.

Ophthalmology

203 PALISADE AVE
JERSEY CITY, NJ 07306

Hudson County (201) 653-5722

MR. HARDIK A PARIKH MD

Ophthalmology

203 PALISADE AVE
JERSEY CITY, NJ 07306

Hudson County (201) 653-5722

PALISADE EYE ASSOCIATES,P.C.

Ophthalmology

203 PALISADE AVE
JERSEY CITY, NJ 07306

Hudson County (201) 653-5722

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 Kunjal Modi's NPI number?

The NPI number for Kunjal Modi is 1548689904. It was assigned to this individual provider in the NPPES registry on April 14, 2014.

Where is Kunjal Modi located?

Kunjal Modi practices at 203 Palisade Ave, Jersey City, NJ 07306. The listed phone number is (201) 653-5722.

What is Kunjal Modi's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Kunjal Modi enrolled in Medicare?

Yes. Kunjal Modi is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kunjal Modi accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Providence Health Plan list Kunjal 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 Kunjal Modi was last updated on August 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.