NILESH K MODI
NPI 1700591153
Nurse Practitioner - Family in Burlington, NJ
About Nilesh K Modi NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NILESH K MODI (NPI 1700591153) is an individual family provider in Burlington, New Jersey, licensed in New Jersey (26NJ14984700) and active in the NPI registry since January 2023. He is enrolled in Medicare PECOS, maintains a secondary practice location in Pemberton, and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Nilesh K Modi 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.
Medicare Billing Reassignment
Medicare enrollment records show Nilesh Modi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Burlington City, NJ 08016
- Reassigned Medicare billing, New Jersey enrollment
- 138 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 08016 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 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BURLINGTON CITY, NJ 08016
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 Nilesh Modi's NPI number?
The NPI number for Nilesh Modi is 1700591153. It was assigned to this individual provider in the NPPES registry on January 19, 2023.
Where is Nilesh Modi located?
Nilesh Modi practices at 651 High St, Burlington, NJ 08016. The listed phone number is (609) 386-0775.
What is Nilesh Modi's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Nilesh Modi enrolled in Medicare?
Yes. Nilesh 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.
Which organization bills Medicare for Nilesh Modi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nilesh Modi reassigns Medicare benefits to Southern Jersey Family Medical Centers, Inc (Burlington City, NJ). The 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 Nilesh Modi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nilesh Modi accept?
Health plans from Ambetter Health and Oscar Health list Nilesh 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 Nilesh Modi was last updated on November 25, 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.
# Nilesh K Modi · NPI 1700591153
Family physician in Burlington, New Jersey. Individual provider, active in the CMS NPPES registry since January 19, 2023.
## Identity
- **NPI:** 1700591153 (Entity type: Individual)
- **Enumerated:** January 19, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 26NJ14984700 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 651 HIGH ST, Burlington, NJ 08016-2737
- **Phone:** (609) 386-0775
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Southern Jersey Family Medical Centers, Inc (NPI 1265557326, Burlington City, NJ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** November 25, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1700591153) · Data from the CMS NPPES public registry.