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

Rajendra Kumar Modi, MD

Individual provider Specialist · NPI 1902895733

Rajendra Kumar Modi, MD is an Ophthalmology in Ridgewood, New York. Qualified in 1976, 50 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New York.

Years since qualifying
50
Licensed in
NY
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

55-44 Metropolitan Ave
Ridgewood, NY 11385
Phone: (718) 456-2020
Fax: (718) 821-5342
Show map & directions

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

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence 154743 (NY)
Specialist Taxonomy 174400000X · Licence 154743 (NY)

Record details

NPI number1902895733
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedOctober 14, 2005
Last updated in NPPESJanuary 3, 2011
Mailing address55-44 Metropolitan Avenue, Ridgewood, NY 11385

Medicare enrollment

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

Medicare specialtyOPHTHALMOLOGY
Medical schoolOTHER
Graduated 1976 (50 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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