Individual ProviderVrunda ModiNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address123 How Ln, New Brunswick, NJ 08901-3653(732) 745-8600(908) 436-7928PECOS EnrollmentBased on the most recent information from CMS, provider Vrunda Modi is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1801527197Provider TypeIndividualFull NameModi, VrundaGenderFemaleSole ProprietorYesEnumeration Date6/18/2022Last Updated6/18/2022Contact InformationPractice LocationPractice Address123 How Ln, New Brunswick, NJ 08901-3653Phone(732) 745-8600FaxUnlisted FaxMailing LocationMailing Address2204 Massey Ln, Monroe, NJ 08831-6832Phone(908) 436-7928FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense26NJ01245700New Jersey