Lopa M Modi, MD - Medicare Pathology in Englewood, NJ

Lopa M Modi, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Englewood, New Jersey. She graduated from medical school in 1995 and has 29 years of diverse experience with area of expertise as Pathology. She is a member of the group practice Englewood Pathologists, Pa and her current practice location is 350 Engle St, Englewood, New Jersey. You can reach out to her office (for appointments etc.) via phone at (201) 894-3000.

Lopa M Modi is licensed to practice in New Jersey (license number 25MA10622800) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1669891917.

Contact Information

Lopa M Modi, MD
350 Engle St,
Englewood, NJ 07631-1808
(201) 894-3000
Not Available

Map and Direction




Physician's Profile

Full NameLopa M Modi
GenderFemale
SpecialityPathology
Experience29 Years
Location350 Engle St, Englewood, New Jersey
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Lopa M Modi graduated from medical school in 1995
  NPI Data:
  • NPI Number: 1669891917
  • Provider Enumeration Date: 04/15/2014
  • Last Update Date: 08/20/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 9234468562
  • Enrollment ID: I20190911001054

Medical Identifiers

Medical identifiers for Lopa M Modi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669891917NPI-NPPES
25MA10622800OtherNJNJ LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology 25MA10622800 (New Jersey)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Englewood Hospital And Medical CenterEnglewood, NJHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Englewood Pathologists, Pa377967167211

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Lopa M Modi allows following entities to bill medicare on her behalf.
Entity NameEnglewood Pathologists, Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053366054
PECOS PAC ID: 3779671672
Enrollment ID: O20071109000462

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lopa M Modi is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lopa M Modi, MD
208 Bloomfield Ave,
Bloomfield, NJ 07003-5794

Ph: (732) 986-2769
Lopa M Modi, MD
350 Engle St,
Englewood, NJ 07631-1808

Ph: (201) 894-3000

Reviews and Comments


Pathology Doctors in Englewood, NJ

Dr. Massoud Kashani, MD
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 350 Engle St, Dept. Of Pathology, Englewood, NJ 07631
Phone: 201-894-1702    Fax: 201-871-2269
Alain Cagaanan,
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Medicare: Medicare Enrolled
Practice Location: 350 Engle St, Englewood, NJ 07631
Phone: 201-894-3000    
Dr. Mikhail Tismenetsky, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 350 Engle St, Englewood, NJ 07631
Phone: 201-894-1702    Fax: 201-871-2269
Dr. Jausheng Tzeng, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 350 Engle St, Dept. Of Pathology, Englewood, NJ 07631
Phone: 201-894-1702    Fax: 201-871-2269
Dr. Ana Burga, MD
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 350 Engle St, Dept. Of Pathology, Englewood, NJ 07631
Phone: 201-894-1702    Fax: 201-871-2269
Dr. Fanni Ratzon, MD
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 350 Engle St, Englewood, NJ 07631
Phone: 201-894-3420    
Dr. Miguel A. Sanchez, MD
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 350 Engle St, Department Of Pathology, Englewood, NJ 07631
Phone: 201-894-1702    Fax: 201-871-2269

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.