| Chintan Modi Md Llc | |
|
98 James St Suite 200 Edison NJ 08820-3902 | |
| (732) 243-9694 | |
| Not Available |
| Full Name | Chintan Modi Md Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 98 James St, Edison, New Jersey |
| Authorized Official Name and Position | Chintan Modi (MD) |
| Authorized Official Contact | 7322439694 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chintan Modi Md Llc 98 James St Suite 200 Edison NJ 08820-3902 Ph: () - | Chintan Modi Md Llc 98 James St Suite 200 Edison NJ 08820-3902 Ph: (732) 243-9694 |
| NPI Number | 1962809236 |
|---|---|
| Provider Enumeration Date | 12/02/2014 |
| Last Update Date | 12/02/2014 |
| Medicare PECOS PAC ID | 6204158256 |
|---|---|
| Medicare Enrollment ID | O20141203000658 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962809236 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Chintan B Modi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649506932 PECOS PAC ID: 0648311415 Enrollment ID: I20091231000230 |
| Provider Name | Sinisa Ivelja |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1205070471 PECOS PAC ID: 0941521355 Enrollment ID: I20150610000354 |
| Provider Name | Christine Tufano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265900799 PECOS PAC ID: 3476896580 Enrollment ID: I20190513001240 |
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