| Doctor Name: | MRS. PAYAL MODY |
| NPI Number: | 1073875068 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RD, CNSC |
| License Number: | 1858150 |
| Business Practice Address: | 1117 Birchwood Ct North Brunswick, NJ - 089021924 |
| Business Phone Number: | 7329910775 |
| Business Fax Number: | |
| Mailing Address: | 1117 Birchwood Ct, NORTH BRUNSWICK |
| State: | NJ |
| Postal Code: | 089021924 |
| Phone Number: | 7329910775 |
| Fax Number: | |
| NPI Enumeration Date: | 06/14/2012 |
| NPI Last Update Date: | 09/26/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133VN1006X |
| License Number: | 1858150 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MD |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | Nutrition, Metabolic |
| Taxonomy Definition: | |