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

Primary practice address
111 Central Ave Newark NJ 07102-1909
Phone: (973) 877-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023016771 NPPES
New Jersey MEDICAID 6670601

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