Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nilesh K Modi

Individual provider Medical-Surgical Registered Nurse · NPI 1700591153

Nilesh K Modi is a Nurse Practitioner in Burlington, New Jersey. Qualified in 2023, 3 years ago. Practices with Southern Jersey Family Medical Centers, Inc, a 36-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
3
Licensed in
NJ
In the registry since
2023
Specialties on file
2

Practice location Address checks out

651 High St
Burlington, NJ 08016-2737
Phone: (609) 386-0775
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 600 Pemberton Browns Mills Rd, Pemberton, NJ 08068-1537 — (609) 894-1100

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 26NJ14984700 (NJ)
Medical-Surgical Registered Nurse Taxonomy 163WM0705X · Licence 26NR18978700 (NJ)

Record details

NPI number1700591153
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 19, 2023
Last updated in NPPESNovember 25, 2024
Certification dateNovember 25, 2024
Mailing addressPo Box 1309, Marlton, NJ 08053-6309

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Southern Jersey Family Medical Centers, Inc — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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