Individual provider · Type 1 NPI

Nita Modi, MD

Specialist · Newark, NJ

NPI number 1023016771 Active

Practice location

111 Central Ave
Newark, NJ 07102-1909

Mailing address

3998 Fair Ridge Dr, Ste 300
Fairfax, VA 22033-2921

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XMA61617 (NJ)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1023016771

Nita Modi, MD's National Provider Identifier is 1023016771, issued on Jul 7, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Newark, NJ. The record was last updated on Mar 19, 2015.