Organization Active NPI

Mahesh R. Desai, M.D., P.a.

  • Specialist
  • Millburn, NJ
National Provider Identifier
1023338332
Registry record updated Jun 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
25MA03499900 Issued in NJ
Legal business name
MAHESH R. DESAI, M.D., P.A.
Practice address
120 Millburn Ave
Suite M2
Millburn, NJ 07041-1942
Phone
(973) 467-5900
Fax
(973) 467-8169
NPI assigned
Jun 9, 2010
Last updated
Jun 9, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Mahesh R Desai, M.D.NPI 1366541690
Title
Physician
Phone
(973) 467-5900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 25MA03499900 NJ Primary

Addresses

Primary practice location

120 Millburn Ave
Suite M2
Millburn, NJ 07041-1942

Mailing address

120 Millburn Ave
Suite M2
Millburn, NJ 07041-1942
Phone (973) 467-5900

National Provider Directory

National Provider Directory

Locations

120 Millburn Ave
Ste M2
Millburn, NJ 07041
Phone (973) 467-5900

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1276041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276041600000",
    "number": "1023338332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 MILLBURN AVE",
            "address_2": "SUITE M2",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411942",
            "telephone_number": "973-467-5900",
            "fax_number": "973-467-8169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 MILLBURN AVE",
            "address_2": "SUITE M2",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411942",
            "telephone_number": "973-467-5900",
            "fax_number": "973-467-8169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHESH R. DESAI, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-09",
        "last_updated": "2010-06-09",
        "status": "A",
        "authorized_official_last_name": "DESAI",
        "authorized_official_first_name": "MAHESH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "973-467-5900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA03499900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millburn, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.