SAUL MICHAEL MODLIN (NPI# 1013960210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013960210 |
| Entity Type | Individual |
| Full Name | SAUL MICHAEL MODLIN |
| Credential | MD |
| Practice Address |
300 Garden City Plaza Suite 248 Garden City NY 11530-3330 |
| Practice Telephone | 5167390333 |
| Practice Fax Number | 5167390344 |
| Mailing Telephone | 5167390333 |
| Mailing Fax Number | 5167390344 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 179353 | MD | Allopathic & Osteopathic Physicians |
| Street Address |
300 GARDEN CITY PLAZA SUITE 248 |
| City | GARDEN CITY |
| State | NY |
| Zip Code | 11530-3330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386606655 | Peter Harry Koumas | Dentist | 300 Garden City Plaza, Ste 230, Garden City, NY 11530 | 2006-04-04 |
| 1831741743 | Jennifer A Loose | Occupational Therapist | 300 Garden City Plaza, Suite 350, Garden City, NY 11530 | 2019-07-10 |
| 1295234896 | Molly Male Drake | Specialist | 300 Garden City Plaza, Garden City, NY 11530 | 2018-02-08 |
| 1629406921 | Kristi Bocchieri | Behavioral Analyst | 300 Garden City Plaza, Garden City, NY 11530 | 2013-10-23 |
| 1629313325 | Cara Mia Barca | Case Manager/Care Coordinator | 300 Garden City Plaza, Garden City, NY 11756 | 2012-12-06 |
| 1811241862 | Mandy A Kelly | Specialist | 300 Garden City Plaza, Suite 350, Garden City, NY 11530 | 2012-10-30 |
| 1487916052 | Angela Farinacci | Specialist | 300 Garden City Plaza, Garden City, NY 11530 | 2012-06-11 |
| 1255693065 | Gary Charles Bodenburg | Specialist | 300 Garden City Plaza, 350, Garden City, NY 11530 | 2012-06-08 |
| 1326300070 | Tara Kelly | Specialist | 300 Garden City Plaza, Garden City, NY 11530 | 2012-06-08 |
| 1235491960 | Kim Marie Fitzgerald | Specialist | 300 Garden City Plaza, Garden City, NY 11530 | 2012-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144850207 | Ellen Jay Palacio Mabatid | Physical Therapist | 66 New Hyde Park, Garden City, NY 11530 | 2020-01-16 |
| 1255991022 | Rubin Anesthesia Pain Management, Pllc | Anesthesiology | 1103 Stewart Avenue, Suite 300, Garden City, NY 11530 | 2019-06-14 |
| 1144793720 | Jack Doby Garden City, LLC | Eyewear Supplier (Equipment, not the service) | Jack Doby Garden City, LLC, 928 Old Country Road, Garden City, NY 11530 | 2019-01-07 |
| 1386135051 | Granger & Sahasra | Dentist | 1103 Stewart Avenue Suite 104, Garden City, NY 11530 | 2018-05-29 |
| 1598262537 | Suzanne P. Reid-bradshaw | Specialist | Kidz Therapy, 300 Garden City Plaza, Garden City, NY 11530 | 2018-04-06 |
| 1972021129 | Nicole Maria Gaudino | Nurse Practitioner | One South Avenue, Waldo Hall, Garden City, NY 11530 | 2017-09-07 |
| 1619495645 | Christine Scheppa | Registered Nurse | 225 Brompton Rd South, Garden City South, NY 11530 | 2017-08-30 |
| 1699290981 | Deborah Ann Pontosky | Registered Nurse | 104 Fifth Street, Garden City, NY 11530 | 2017-08-08 |
| 1932648748 | Tahmina Jahir | Student in an Organized Health Care Education/Training Program | 15 Hilton Ave, Garden City, NY 11530 | 2017-02-14 |
| 1598209173 | Dino Michelli | Specialist | 300 Garden City Plaza, Ste 350, Kidz Therapy/ Gayle E. Kligman Therapeutic Resources, Garden City, NY 11530 | 2016-12-15 |
| Find all providers in zip 11530 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194724427 | Jay S Rechtweg | Otolaryngology | 990 Stewart Ave, Suite 610, Garden City, NY 11530-4822 | 2005-07-19 |
| 1760620850 | Bradley Benjamin Block | Otolaryngology | 990 Stewart Avenue, Suite 610 - Enta, Garden City, NY 11530-4838 | 2009-01-27 |
| 1770611428 | Jorge De Cardenas | Otolaryngology | 311 E Spruce St, Garden City, KS 67846-5679 | 2007-03-02 |
| 1285774992 | Warren H Zelman Md PC | Otolaryngology | 975 Franklin Ave, Suite 203b, Garden City, NY 11530-2921 | 2007-02-08 |
| 1285653535 | Michael Guy Mendelsohn | Otolaryngology | 990 Stewart Ave, Suite 610, Garden City, NY 11530-4822 | 2006-07-18 |
| 1609894930 | Paul A Bell | Otolaryngology | 990 Stewart Avenue, Suite 610, Garden City, NY 11530-4838 | 2006-07-17 |
| 1659399988 | Warren H Zelman | Otolaryngology | 990 Stewart Ave, Suite 610, Garden City, NY 11530-4822 | 2006-07-17 |
| 1134176662 | Advanced Otolaryngology, PC | Otolaryngology | 877 Stewart Ave, Suite 2, Garden City, NY 11530-4803 | 2006-05-29 |
| 1619934460 | Rajesh S Kakani | Otolaryngology | 877 Stewart Ave, Suite 2, Garden City, NY 11530-4803 | 2006-04-26 |
| 1356306807 | Michael A. Gordon | Otolaryngology | 990 Stewart Ave, Suite 610, Garden City, NY 11530-4838 | 2006-04-19 |
| Find all providers in GARDEN CITY | ||||
| City | GARDEN CITY |
| Zip Code | 11530 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.