Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1174323380 Individual Practitioner Male Practitioner

John Modica

Specialist • Bethpage, NY

Professional Overview & Biography Verified Profile Summary

John Modica is a registered healthcare professional specializing in Specialist in Bethpage, NY. Practice services are available at 3665 COLLECTOR LN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3665 Collector Ln

Bethpage, NY 117143809

Telephone 5167494501
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Bethpage, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.0 Yrs
State Avg: 34.9 Yrs
Regional Practice Density
31 Specialists

Practicing in Bethpage, NY (23296 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

CMS Verified: 2025-03-17
Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License NY 4044738

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.

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active March 17, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location March 17, 2025

Registered at 3665 COLLECTOR LN, BETHPAGE, NY 117143809 (Tel: 5167494501)

📍
Updated Business Mailing Address March 17, 2025

Registered at 1400 OLD COUNTRY RD STE C103N, WESTBURY, NY 115905156

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Provider Name / Credentials Updated March 17, 2025

Recorded as JOHN MODICA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2025

Specialist (License #4044738 in NY)

🟢
Initial NPI Registration & Enumeration March 17, 2025

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: 1174323380
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 17, 2025
Last Update: March 17, 2025
Sole Proprietor: No

Mailing Address

1400 Old Country Rd Ste C103n

Westbury, NY 115905156

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

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.