Hetasvi Jay Desai
Individual provider Active NPI Occupational Therapist · Iselin, NJ
NPI 1104584325 · NPPES record last updated Apr 1, 2022
Key facts
- NPI
- 1104584325
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 46TRO1035000 (NJ)
- Practice address
- 170 Bloomfield Ave
Iselin, NJ 08830-2226 - Phone
- (732) 429-7743
- NPI assigned
- Dec 5, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 7
Medicare Care Compare profile
- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bridgeway Care at Home LLC
Premier Care Physical Therapy and Rehabilitation LLC
Practice addresses (Care Compare)
Bridgewater, NJ 08807
Phone (908) 722-7022
2163 Oak Tree Rd
Suite 109
Edison, NJ 08820-1084
Phone (732) 272-0083
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NJ, NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220217002631 | NJ | Practitioner - Occupational Therapist in Private Practice | 2264826163 | Reassigns benefits to 4 organizations |
| I20230622003568 | NY | Practitioner - Occupational Therapist in Private Practice | 2264826163 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46TRO1035000 | NJ | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Rehabilitation Physical Therapy Services LLC | Single Specialty | Current |
Accepting new patients |
| Edison Metuchen Therapy Associates LLC. | Occupational Therapist | Current |
Accepting new patients |
| Fit at Home Physical Therapy & Rehabilitation Services LLC | Current |
Accepting new patients | |
| At Home by Enhance Therapies LLC | Single Specialty | Current |
Accepting new patients |
| Premier Care Physical Therapy & Rehabilitation LLC | Single Specialty | Current |
Accepting new patients |
| Auroma Therapy Services,Inc | Single Specialty | Current |
Accepting new patients |
| Bridgeway Care at Home, LLC | Single Specialty | Current |
Accepting new patients |
Locations
1030 Saint Georges Ave
Ste LL3
Avenel, NJ 07001
Phone (732) 404-1040
270 State Route 28
Bridgewater, NJ 08807
Phone (908) 722-7022
7 Carnegie Plz
Cherry Hill, NJ 08003
2163 Oak Tree Rd
Ste 109
Edison, NJ 08820
Phone (732) 272-0083
411 Hackensack Ave
Ste 200
Hackensack, NJ 07601
Phone (732) 987-3833
400 Route 70
Lakewood, NJ 08701
Phone (732) 802-7512
1415 Richmond Ave
Staten Island, NY 10314
Phone (212) 475-5540
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist |
225X00000X | 46TRO1035000 | NJ | Yes |
Addresses
Primary practice location
170 Bloomfield Ave
Iselin, NJ 08830-2226
Mailing address
170 Bloomfield Ave
Iselin, NJ 08830-2226
Phone (732) 429-7743
Other providers in Iselin, NJ
- Delight Home Care LLC
- Jerome Delrosario
- Delta Community Supports, Inc.
- Anthony Peter Demarco
- Joseph N Deraville Sr.
- Eric Robert Devore
- Jana Didonato
- Dipasquale Chiropractic
- Tannia Carolina Dominguez
- Carlah Dominique
All providers in Iselin, NJ · Occupational Therapist in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 1, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.