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Deactivated NPI 1831186394 Deactivated / Inactive NPI Male Practitioner

Dr. Mahendra Modi , MD

Specialist • Paterson, NJ

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Mahendra Modi has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 30, 2005
NPI Deactivation Date October 02, 2025
Total Practice Duration ~20 Years of Practice (2005 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Mahendra Modi, MD was a registered Specialist practicing in Paterson, NJ. Throughout an active medical career spanning 20 years, Dr. Modi provided care at the practice location at 703 MAIN ST until profile deactivation on 2025-10-02.

Practice Location & Contact Primary Location

Practice Address

703 Main St

Paterson, NJ 075032621

Telephone 9737542645
Associated Practice Facility / Clinic
🏢 Neonatal Associates, Llc Facility NPI 1154326296

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Paterson, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 40.5 Yrs
State Avg: 35.6 Yrs
Regional Practice Density
14 Specialists

Practicing in Paterson, NJ (1802 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License NJ 25MA02777700

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
Dr. Stephen Kwon , MD

Radiology - Diagnostic Radiology

NPI 1093702359

Doctor of Medicine (M.D.)

Dr. Edward Milman , MD

Radiology - Diagnostic Radiology

NPI 1205823788

Doctor of Medicine (M.D.)

Dr. Vijay Hiremath , MD

Radiology - Diagnostic Radiology

NPI 1255328704

Doctor of Medicine (M.D.)

Dr. Orestes Sanchez , MD

Radiology - Diagnostic Radiology

NPI 1376530857

Doctor of Medicine (M.D.)

Dr. Frederick Cushmore , MD

Radiology - Diagnostic Radiology

NPI 1396732830

Doctor of Medicine (M.D.)

NPI 1558358093

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated October 02, 2025

Record deactivated on October 02, 2025

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 703 MAIN ST, PATERSON, NJ 075032621 (Tel: 9737542645)

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Updated Business Mailing Address July 08, 2007

Registered at PO BOX 9135, ATT:SHARON SILVA, BROOKLINE, MA 024469135 (Tel: 8009270002)

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Provider Name / Credentials Updated July 08, 2007

Recorded as MAHENDRA MODI, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #25MA02777700 in NJ)

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Initial NPI Registration & Enumeration September 30, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1831186394
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 30, 2005
Last Update: July 08, 2007
Deactivation Date: October 02, 2025

Mailing Address

Po Box 9135, Att:sharon Silva

Brookline, MA 024469135

Phone: 8009270002

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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