Shailendra A Desai, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

MA41223 Issued in NJ

Practice address

1450 E Chestnut Ave
Building 4, Suite a
Vineland, NJ 08361-8467

Phone

(856) 794-8664

Fax

(856) 794-2671

NPI assigned

Jun 7, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Brait Partnow Margolin & Sharetts MDS PA

  • Neurology Physician
  • Willingboro, NJ
  • NPI 1326191008

  Diagnostic Radiology

  NPD (past)
• Radiology Associates of New Jersey PC

  • Diagnostic Radiology Physician
  • Cherry Hill, NJ
  • NPI 1659390870
  NPD (past)
• Regional Diagnostic Imaging, LLC

  • Diagnostic Radiology Physician
  • Vineland, NJ
  • NPI 1972575892
  NPD (past)
• Regional Radiology LLC

  • Diagnostic Radiology Physician
  • Cinnaminson, NJ
  • NPI 1124222328
  NPD (past)

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407283200000",
    "number": "1073553152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 NOLEN CIR",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 E CHESTNUT AVE",
            "address_2": "BUILDING 4, SUITE A",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083618467",
            "telephone_number": "856-794-8664",
            "fax_number": "856-794-2671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAI",
        "first_name": "SHAILENDRA",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2014-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "MA41223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0022417000",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2149206",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON NJ HEALTH",
            "identifier": "1163957",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMC",
            "identifier": "300132764",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dental Care of Vineland, P.a.
• Dentofacial Associates,PA
• Suzanne Melissa Depasquale, M.ED, LCSW
• Rebecca Depiero
• Seema Desai, DO
• Barbara A Desimone, PT
• Alexander Joseph Dessoye, DPT
• Carter William Deuel, DO
• Devereux Foundation
• Devereux Foundation

• Diagnostic Radiology Physician in Vineland, NJ
• Providers in Vineland, NJ by specialty
• Diagnostic Radiology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2014; 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.