Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NEERAJ MODI MD
NPI 1932343076
Radiology - Diagnostic Radiology in Albertson, NY

Active since April 20, 2009PECOS Enrolled
100/100
CMS Quality Rating
45 CRESTHOLLOW LN, ALBERTSON, NY 11507(516) 428-4793 Get Directions Write a Review

NPPES record last updated: October 5, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 5, 2026, Jan 12, 2016 (2 updates tracked since 2016).

About Neeraj Modi Md NPPES

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

NEERAJ MODI MD (NPI 1932343076) is an individual diagnostic radiology provider in Albertson, New York, licensed in New York (268677) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS, is affiliated with Hackensack Meridian Health, Mountainside Medical, and maintains a secondary practice location in Paoli.

NPPES Registry Identity

NPI1932343076
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameNEERAJ MODICredential: MD
Location Address45 CRESTHOLLOW LNAlbertson, NY 11507-1046
Mailing Address45 Cresthollow LnAlbertson, NY 11507-1046 · (516) 428-4793
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateApril 20, 2009
Last NPPES UpdateOctober 5, 20262 updates tracked since enumeration
NPPES CertifiedOctober 5, 2026
✔ NPI 1932343076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses✔ Licensed in NY · 268677✔ Licensed in PA · MD463434
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
45 CRESTHOLLOW LN, Albertson, NY 11507

Secondary Practice Location 1

Location 1255 W Lancaster AvePaoli, PA 19301-1763 · Phone (484) 337-1644

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)

Neeraj Modi Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2163659749
PECOS Enrollment IDI20161020001119
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.

Medicare Billing Reassignments

19

Medicare enrollment records show Neeraj Modi reassigns Medicare billing to 19 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Specialist
51 WEST 51ST STREET
New York, NY 10019
  • Reassigned Medicare billing, New York enrollment
  • 232 clinicians in this Medicare group
Surgery
170 MAPLE AVE, SUITE 501
White Plains, NY 10601
  • Reassigned Medicare billing, New York enrollment
  • 54 clinicians in this Medicare group
Internal Medicine
170 MAPLE AVE
White Plains, NY 10601
  • Reassigned Medicare billing, New York enrollment
  • 445 clinicians in this Medicare group
Emergency Medicine
41 E POST RD
White Plains, NY 10601
  • Reassigned Medicare billing, New York enrollment
  • 479 clinicians in this Medicare group
Diagnostic Radiology
1000 MONTAUK HWY
West Islip, NY 11795
  • Reassigned Medicare billing, New York enrollment
  • 356 clinicians in this Medicare group
Diagnostic Radiology
70 DUBOIS ST, WEST HUDSON IMAGING
Newburgh, NY 12550
  • Reassigned Medicare billing, New York enrollment
  • 34 clinicians in this Medicare group
Diagnostic Radiology
707 E MAIN ST, RADIOLOGIC ASSOCIATES
Middletown, NY 10940
  • Reassigned Medicare billing, New York enrollment
  • 46 clinicians in this Medicare group
Internal Medicine
45 READE PLACE
Poughkeepsie, NY 12601
  • Reassigned Medicare billing, New York enrollment
  • 638 clinicians in this Medicare group
Diagnostic Radiology
2501 KUSER RD
Hamilton, NJ 08691
  • Reassigned Medicare billing, New York enrollment
  • 51 clinicians in this Medicare group
Diagnostic Radiology
95 HIGHLAND AVE, SUITE 130
Bethlehem, PA 18017
  • Reassigned Medicare billing, New York enrollment
  • 7 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.

Areas of Expertise CMS Part B claims 37

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
1,159 services1,069 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
394 services381 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
356 services348 patients
Ct scan of blood vessels of chest with contrast 71275
A CT scan of the chest with contrast is a non-invasive imaging test. It uses X-rays and a special dye to get detailed images of your blood vessels in the chest. This helps in diagnosing conditions related to heart and lungs.
192 services190 patients
Ct scan of abdomen and pelvis without contrast 74176
A CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.
170 services169 patients
Ct scan of upper spine without contrast 72125
A CT scan of the upper spine without contrast is a non-invasive imaging test that uses X-rays to capture detailed images of your neck and upper back. It helps in identifying issues like fractures, tumors, or infections. No dye (contrast) is used in this scan.
141 services139 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hackensack Meridian Health, Mountainside Medical

Acute Care Hospitals · Montclair, NJ
2/5 CMS rating
OwnershipProprietary
CMS Certification Number310054
Location1 Bay AvenueMontclair, NJ 07042 · Essex County
Emergency services Birthing friendly

Vassar Brothers Medical Center

Acute Care Hospitals · Poughkeepsie, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330023
Location45 Reade PlacePoughkeepsie, NY 12601 · Dutchess County
Emergency services Birthing friendly

Garnet Health Medical Center

Acute Care Hospitals · Middletown, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330126
Location707 East Main StreetMiddletown, NY 10940 · Orange County
Emergency services Birthing friendly

St John's Riverside Hospital

Acute Care Hospitals · Yonkers, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330208
Location976 North BroadwayYonkers, NY 10701 · Westchester County
Emergency services Birthing friendly

St Luke's Cornwall Hospital

Acute Care Hospitals · Newburgh, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number330264
Location70 Dubois StreetNewburgh, NY 12550 · Orange County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11507 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

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 Neeraj Modi's NPI number?

The NPI number for Neeraj Modi is 1932343076. It was assigned to this individual provider in the NPPES registry on April 20, 2009.

Where is Neeraj Modi located?

Neeraj Modi practices at 45 Cresthollow Ln, Albertson, NY 11507. The listed phone number is (516) 428-4793.

What is Neeraj Modi's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Neeraj Modi enrolled in Medicare?

Yes. Neeraj Modi is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Neeraj Modi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Neeraj Modi reassigns Medicare benefits to 19 organizations: Columbiadoctors/Newyork-Presbyterianimaging (New York, NY), White Plains Hospital Medical Center (White Plains, NY), White Plains Physician Services PC (White Plains, NY), East Post Road Medical Services PC (White Plains, NY), Empire State Radiology P C (West Islip, NY) and 14 more organizations, listed in the Medicare section above. 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 Neeraj Modi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Neeraj Modi accept?

Health plans from Blue Care Network of Michigan, Oscar Health, Oscar Insurance Company and UnitedHealthcare list Neeraj 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.

Is Neeraj Modi affiliated with any hospitals?

According to CMS data, Neeraj Modi is affiliated with Hackensack Meridian Health, Mountainside Medical, Vassar Brothers Medical Center, Garnet Health Medical Center, St John's Riverside Hospital and St Luke's Cornwall Hospital.

When was this NPI record last updated?

The NPPES record for Neeraj Modi was last updated on October 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days 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.