Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Manoj Modi, RPA-C, MPAS

Individual provider Physician Assistant · NPI 1598004582

Manoj Modi, RPA-C, MPAS is a Physician Assistant in New Hyde Park, New York. Qualified in 2012, 14 years ago. Practices with Greater Baltimore Medical Center Inc, a 348-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
14
Licensed in
NY
In the registry since
2013
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Practice location Address checks out

2001 Marcus Ave Ste W170
New Hyde Park, NY 11042-2042
Phone: (516) 355-0111
Fax: (516) 355-9420
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 016323 (NY)

Record details

NPI number1598004582
Entity typeIndividual (Type 1)
GenderMale
Credentials RPA-C , MPAS
Sole proprietorYes
NPI enumeratedFebruary 11, 2013
Last updated in NPPESFebruary 11, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Greater Baltimore Medical Center Inc — 348 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations10 on file with Medicare

Other providers in New Hyde Park