Modi, Nita
Modi, Nita is an individual health care provider with primary practice located at 111 Central Ave , Newark NJ 07102-1909. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Modi, Nita can be contacted via phone (973) 877-5000.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MA61617 | New Jersey |
Profile Details
| NPI number | 1023016771 |
|---|---|
| LBN Legal business name | Modi, Nita |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2005 |
| Last updated | Mar 19th, 2015 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023016771 | NPPES |
| New Jersey | MEDICAID | 6670601 |
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