Individual provider Active NPI

Aaditya Desai, DO

  • Emergency Medicine Physician
  • Edison, NJ
National Provider Identifier
1053517268
Registry record updated Jun 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036-115843 Issued in IL
Practice address
6 Sandra Dr
Edison, NJ 08820-1900
Phone
(732) 382-3009
NPI assigned
Jun 25, 2007
Last updated
Jun 24, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 036-115843 IL Primary

Addresses

Primary practice location

6 Sandra Dr
Edison, NJ 08820-1900

Mailing address

6 Sandra Dr
Edison, NJ 08820-1900

Other identifiers 1

IdentifierTypeStateIssuer
036-115843OtherILLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090408000259 NJ Practitioner - Emergency Medicine 0244321719 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Midwestern University, Chicago College of Osteopathic Med, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Passaic River Physicians LLCGroup PAC ID 4486041514, 57 clinicians
St Josephs Medical Group PCGroup PAC ID 8628470325, 217 clinicians
Medical Associates of Englewood PCGroup PAC ID 1355512252, 538 clinicians
Desjet LLCGroup PAC ID 7618263450, 6 clinicians

Practice addresses (Care Compare)

224 Hamburg Tpke
Wayne, NJ 07470-2168
Phone (973) 942-6900

225 Minnisink Rd
Suite 102
Totowa, NJ 07512-1804
Phone (862) 657-3100

24 Elm St
Harrington Park, NJ 07640-1902
Phone (201) 451-1601

46 Union Ave
Cresskill, NJ 07626-2125
Phone (201) 205-2172

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
036-115843ILMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Passaic River Physicians, LLC Emergency Medicine CurrentSince Jun 1, 2022 Accepting new patients
St Josephs Medical Group PC CurrentSince Mar 1, 2022 Accepting new patients
Desjet LLC Emergency Medicine CurrentSince Mar 24, 2016 Accepting new patients
Emergency Physician Associates of North Jersey P C Emergency Medicine CurrentSince Mar 1, 2009 Accepting new patients
St. Joseph's Emergency Physicians Inc CurrentSince Sep 12, 2012 Accepting new patients
Garden State Healthcare Associates, LLC Emergency Medicine CurrentSince Oct 1, 2011 Accepting new patients
Medical Associates of Englewood, PC CurrentSince Apr 1, 2020 Accepting new patients
Passaic River Physicians, LLC Emergency Medicine CurrentSince Jun 1, 2022 Accepting new patients

Locations

230 Broad St
Ste 1
Bloomfield, NJ 07003
Phone (201) 983-4060

35 Ackerman Ave
Clifton, NJ 07011
Phone (973) 519-5070

46 Union Ave
Cresskill, NJ 07626
Phone (201) 205-2172

46 Union Ave
#A
Cresskill, NJ 07626
Phone (201) 399-7695

24 Elm St
Ste 203
Harrington Pk, NJ 07640
Phone (201) 784-0123

308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574

703 Main St
Paterson, NJ 07503
Phone (973) 754-2240

703 Main St
#G
Paterson, NJ 07503
Phone (973) 754-6331

703 Main St
Bldg 400
Paterson, NJ 07503
Phone (973) 754-2054

1 Riverview Plz
Red Bank, NJ 07701
Phone (732) 530-2204

99 Beauvoir Ave
Summit, NJ 07901
Phone (908) 522-2232

225 Minnisink Rd
#102
Totowa, NJ 07512
Phone (862) 657-3100

220 Hamburg Tpke
Ste 203
Wayne, NJ 07470

Interoperability endpoints

  • Direct secure messaging: adesai251775@direct.englewoodhealth.org
  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592956800000",
    "number": "1053517268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 SANDRA DR",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088201900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 SANDRA DR",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088201900",
            "telephone_number": "732-382-3009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAI",
        "first_name": "AADITYA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-25",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036-115843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "036-115843",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

Verify at the official NPI Registry.