DR. VIJAY MODUR (NPI# 1821551979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821551979 |
| Entity Type | Individual |
| Full Name | DR. VIJAY MODUR |
| Credential | MD |
| Practice Address |
3 Squirrel Hill Rd Acton MA 01720-2017 |
| Mailing Address |
50 Binney St Cambridge MA 02142-1512 |
| Practice Telephone | 6104098366 |
| Mailing Telephone | 5083086173 |
| Enumeration Date | 2019-04-06 |
| Last Update Date | 2019-04-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZC0006X |
Pathology Specialization: Clinical Pathology |
2010013501 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
3 SQUIRREL HILL RD |
| City | ACTON |
| State | MA |
| Zip Code | 01720-2017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346872322 | Gianpiero De Mari | Behavior Technician | 8 Post Office Square Suite 204, Acton, MA 01720 | 2020-02-07 |
| 1871134890 | Rachel Vinicor | Social Worker | 171 Pope Rd., Acton, MA 01720 | 2019-10-01 |
| 1295387991 | Manman Zhang | Nurse Practitioner | Apt B9, 9 Davis Road, Acton, MA 01720 | 2019-07-12 |
| 1215595608 | Karen Weeks | Clinical Medical Laboratory | 526 Main St, One Acton Pl, Suite 102, Acton, MA 01720 | 2019-05-31 |
| 1689165151 | Richard J. Cowen | Psychologist | 16 Charter Road, Acton, MA 01720 | 2018-05-21 |
| 1265929798 | Angela Madge | Psychologist | 525 Massachusetts Ave Ste 101g, Acton, MA 01720 | 2018-04-19 |
| 1811404544 | B-xi Operations Holding Company LLC | Assisted Living Facility | Benchmark At Robbins Brook, 10 Devon Drive, Acton, MA 01720 | 2018-01-03 |
| 1396265211 | Kristen Devenezia | Counselor | 360 Massachusetts Avenue, Suite 201, Acton, MA 01720 | 2017-06-21 |
| 1760886592 | Waybond Pllc | Clinic/Center | 31 Powder Mill Rd, Acton, MA 01720 | 2014-10-22 |
| 1760802797 | Kimberly Greene Murachver | Dietitian, Registered | 525 Massachusetts Ave Ste 101c, Acton, MA 01720 | 2014-04-17 |
| Find all providers in zip 01720 | ||||
| Taxonomy Code | 207ZC0006X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: new, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic "clinical pathology only" route. Board Certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457848152 | Lina Ma | Pathology | 243 Charles St Rm 328, Boston, MA 02114-3002 | 2018-04-18 |
| 1184116220 | David Puyraimond Zemmour | Pathology | 75 Francis St, Boston, MA 02115-6106 | 2018-06-05 |
| 1114448958 | Christopher Bruce Hergott | Pathology | 75 Francis St, Boston, MA 02115-6110 | 2017-07-02 |
| 1821518671 | Natasha Novikov | Pathology | 75 Francis St, Boston, MA 02115-6110 | 2017-06-22 |
| 1447604194 | Julie Martine Guilmette | Pathology | 55 Fruit St, Boston, MA 02114-2621 | 2016-04-19 |
| 1457735284 | Alissa Minkovsky | Pathology | 75 Francis St, Boston, MA 02115-6110 | 2015-07-10 |
| 1265835839 | Jeffrey Robert Gagan | Pathology | 75 Francis St, Boston, MA 02115-6110 | 2014-09-26 |
| 1740609833 | Lei Li | Pathology | Lahey Hospital & Medical Center, 41 Mall Road, Burlington, MA 01805-0001 | 2014-04-16 |
| 1689916702 | Cecilia Ponchiardi | Pathology | 330 Brookline Avenue, Bidmc - Department of Pathology - Ground Floor, Boston, MA 02215 | 2013-03-27 |
| 1982946307 | George A. Tjionas | Pathology | 55 Lake Ave N, Worcester, MA 01655-0002 | 2013-03-24 |
| 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.