DR. KETANG MODI (NPI# 1396736468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396736468 |
| Entity Type | Individual |
| Full Name | DR. KETANG MODI |
| Credential | D.O. |
| Practice Address |
23 Mountainview Court Totowa NJ 07512 |
| Practice Telephone | 9735957112 |
| Mailing Telephone | 9735957112 |
| Enumeration Date | 2005-10-28 |
| Last Update Date | 2020-03-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
OS11848 | FL | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
25MB07370200 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 8900507 | 05 |
| Street Address |
23 MOUNTAINVIEW COURT |
| City | TOTOWA |
| State | NJ |
| Zip Code | 07512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396265682 | Joseph Choi | Student in an Organized Health Care Education/Training Program | 136 Independence Trail, Totowa, NJ 07512 | 2017-06-27 |
| 1508228537 | Psycho-educational Associates | Community/Behavioral Health | 999 Riverview Dr., Suite 201, Totowa, NJ 07512 | 2016-03-29 |
| 1013381086 | De La Torre Chiropractic Center, LLC | Chiropractor | 159 Union Blvd, Unit B, Totowa, NJ 07512 | 2015-11-13 |
| 1396123527 | Pratiksha Pandit Chesney | Physical Therapist | 10 Crews St., Totowa, NJ 07512 | 2015-05-07 |
| 1356735666 | Ne Health Management LLC | Clinic/Center | 195 Us Hwy 46 West Suite 4, Totowa, NJ 07512 | 2015-03-25 |
| 1477989218 | Medical Nutrition of Nj, LLC | Nutritionist | 137 Union Blvd, Totowa, NJ 07512 | 2013-09-25 |
| 1245503648 | Biologictx LLC | Pharmacy | 40d Commerce Way, Totowa, NJ 07512 | 2012-02-15 |
| 1982987293 | Jorge De La Torre Jr. | Chiropractor | 442 Union Blvd, Store Front, Totowa, NJ 07512 | 2011-09-22 |
| 1851699540 | Leilani Irisari Toomey | Physical Therapist | 140 Sheperds Ln#1, Totowa, NJ 07512 | 2011-03-04 |
| 1972803526 | Maria E Tapia | Social Worker | 555 Preakness Ave., Totowa, NJ 07512 | 2010-10-29 |
| Find all providers in zip 07512 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932707528 | Totowa Medical Imaging | Radiology | 472 Union Blvd, Totowa, NJ 07512-2589 | 2020-10-15 |
| 1871191098 | Faria Khan | Radiology | 472 Union Blvd, Totowa, NJ 07512-2589 | 2020-10-09 |
| 1346520715 | Imaging Specialists, LLC | Radiology | 23 Mountainview Ct, Totowa, NJ 07512-1654 | 2011-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902427297 | Universal Diagnostics Solutions | Radiology | 992 Clifton Ave Fl 1, Clifton, NJ 07013-3502 | 2020-04-28 |
| 1841826567 | Mercer Diagnostic Imaging, LLC | Radiology | 1245 Whitehorse Mercerville Rd Ste 403, Hamilton, NJ 08619-3831 | 2020-03-13 |
| 1225678352 | Jefferson University Radiology Associates, LLC | Radiology | 243 Hurffville Crosskeys Rd, Sewell, NJ 08080-4011 | 2020-01-07 |
| 1982240248 | Edison Medical Imaging | Radiology | 1907 Oak Tree Rd Ste 101, Edison, NJ 08820-2070 | 2019-11-21 |
| 1972169902 | Jefferson University Radiology Associates, LLC | Radiology | 999 Nj-73, # 101, Marlton, NJ 08053 | 2019-05-15 |
| 1891269254 | Middletown Radiology LLC | Radiology | 1270 Rte 35 Ste 3, Middletown, NJ 07748-2014 | 2019-01-17 |
| 1033689401 | Bay Imaging Consultants Medical Group Inc | Radiology | 54 Ettl Cir, Princeton, NJ 08540-2326 | 2018-11-28 |
| 1598240285 | Advanced Women Imaging Professional Association | Radiology | 560a 60th St, West New York, NJ 07093-1487 | 2018-09-27 |
| 1376034520 | Sonoview Imaging LLC | Radiology | 5600 Kennedy Blvd W Ste 108, West New York, NJ 07093-1256 | 2018-05-23 |
| 1215443866 | Atlantic Diagnostic Services, Ipa, LLC | Radiology | 110 South Jefferson Road, Suite 201, Whippany, NJ 07981 | 2017-12-19 |
| Find all providers with the same taxonomy | ||||
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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.