Individual provider Active NPI

Nawal M Desoky, M.D.

  • Obstetrics & Gynecology Physician
  • Wayne, NJ
National Provider Identifier
1073666129
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25MA02830800 Issued in NJ
Practice address
2411 Hamburg Tpke
Wayne, NJ 07470-6225
Phone
(973) 839-7575
Fax
(973) 839-7505
NPI assigned
Jan 20, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 25MA02830800 NJ Primary

Addresses

Primary practice location

2411 Hamburg Tpke
Wayne, NJ 07470-6225

Mailing address

2411 Hamburg Tpke
Wayne, NJ 07470-6225
Phone (973) 839-7575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA02830800NJMDObstetrics & Gynecology Physician

NPI Registry JSON

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

{
    "created_epoch": "1169251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073666129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2411 HAMBURG TPKE",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074706225",
            "telephone_number": "973-839-7575",
            "fax_number": "973-839-7505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2411 HAMBURG TPKE",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074706225",
            "telephone_number": "973-839-7575",
            "fax_number": "973-839-7505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESOKY",
        "first_name": "NAWAL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MA02830800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.