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DR. JAMES ANTHONY MODUGNO DPM
NPI 1720423379
Podiatrist - Foot & Ankle Surgery in Monroe Township, NJ

Active since May 08, 2013PECOS EnrolledAccepts Medicare Assignment
9 SAMANTHA DR, MONROE TOWNSHIP, NJ 08831(732) 319-6124 Get Directions Write a Review

NPPES record last updated: May 8, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. James Anthony Modugno Dpm NPPES

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

DR. JAMES ANTHONY MODUGNO DPM (NPI 1720423379) is an individual foot & ankle surgery provider in Monroe Township, New Jersey, licensed in New Jersey (25MD00316800) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS and is a graduate of New York College Of Podiatric Medicine (2009).

NPPES Registry Identity

NPI1720423379
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameDR. JAMES ANTHONY MODUGNOCredential: DPM
Location Address9 SAMANTHA DRMonroe Township, NJ 08831-4044
Mailing Address9 Samantha DrMonroe Township, NJ 08831-4044 · (732) 319-6124
Phone(732) 319-6124
Sole ProprietorYes
Medical School CMSNew York College Of Podiatric MedicineGraduated 2009
Enumeration DateMay 8, 2013
✔ NPI 1720423379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in NJ · 25MD00316800
9 SAMANTHA DR, Monroe Township, NJ 08831
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Accepted Insurance

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

Dr. James Anthony Modugno Dpm 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 ID3375777816
PECOS Enrollment IDI20131016000528
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 4

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.

Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
236 services84 patients
Removal of noncancer thickened skin growth, 2-4 growths 11056
This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.
195 services74 patients
Established patient office or other outpatient visit, 20-29 minutes 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
156 services75 patients
New patient office or other outpatient visit, 30-44 minutes 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
32 services32 patients

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 James Modugno's NPI number?

The NPI number for James Modugno is 1720423379. It was assigned to this individual provider in the NPPES registry on May 8, 2013.

Where is James Modugno located?

James Modugno practices at 9 Samantha Dr, Monroe Township, NJ 08831. The listed phone number is (732) 319-6124.

What is James Modugno's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is James Modugno enrolled in Medicare?

Yes. James Modugno 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 James Modugno accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list James Modugno 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 James Modugno was last updated on May 8, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.