Individual provider Active NPI

Gopal R Desai, M.D.

  • Radiation Oncology Physician
  • Pennington, NJ
National Provider Identifier
1104870450
Registry record updated Jul 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
25MA06695600 Issued in NJ
Practice address
1 Capital Way
Pennington, NJ 08534-2520
Phone
(609) 303-4244
NPI assigned
May 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 25MA06695600 NJ Primary

Addresses

Primary practice location

1 Capital Way
Pennington, NJ 08534-2520

Mailing address

579A Cranbury Road
University Radiology Group PC
East Brunswick, NJ 08816
Phone (732) 390-0040

Other practice location 1

254 Easton Ave
Saint Peters University Hospital
New Brunswick, NJ 08901-1766
Phone (732) 390-0040

Other identifiers 2

IdentifierTypeStateIssuer
02758501MedicaidNY
8722706MedicaidNJ

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gopal.desai.1@12833.direct.athenahealth.com Direct

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
I20041213000116 NJ Practitioner - Radiation OncologyPractitioner - Nephrology 0749251007 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation OncologyAlso: Nephrology
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital Health Medical GroupGroup PAC ID 7618264532, 442 clinicians

Practice addresses (Care Compare)

1 Capital Way
Pennington, NJ 08534-2520
Phone (609) 303-4244

205 S Orange Ave
Newark, NJ 07103-2785
Phone (973) 972-2878

2575 Klockner Rd
Hamilton, NJ 08690-2801
Phone (609) 631-6960

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Peter's University Hospital Current Accepting new patients
Sovereign Medical Group, LLC CurrentSince Jul 1, 2013 Accepting new patients
Rutgers Health-RWJ Scleroderma Program Current Accepting new patients
Rutgers Health-RWJ Scleroderma Program CurrentSince Nov 15, 2022 Accepting new patients
University Physician Associates of New Jersey Inc Radiation Oncology CurrentSince Jan 11, 2025 Accepting new patients
Rutgers Health-RWJ Scleroderma Program CurrentSince Nov 15, 2022 Accepting new patients
University Physician Associates of New Jersey Inc CurrentSince Jan 11, 2025 Accepting new patients
Saint Peter's University Hospital CurrentSince May 1, 2012 Accepting new patients
Sovereign Medical Group LLC Radiation Oncology CurrentSince Jul 1, 2013 Accepting new patients
Capital Health Medical Group Radiation Oncology CurrentSince Aug 1, 2023 Accepting new patients
Scott a. Edwards, MD & Assoc. P.a. Radiation Oncology Past Accepting new patients
University Physician Associates of New Jersey Inc Past Accepting new patients
Bayonne Radiation Oncology Associates, LLC Radiation Oncology Past Accepting new patients
Rutgers Health-RWJ Scleroderma Program Past Accepting new patients

Locations

85 Harristown Rd
Ste 200
Glen Rock, NJ 07452
Phone (201) 444-4526

20 Woodridge Ave
Hackensack, NJ 07601
Phone (201) 500-4958

2575 Klockner Rd
Hamilton, NJ 08690
Phone (609) 584-2801

631 Grand St
Ste 11
Jersey City, NJ 07304
Phone (201) 880-7580

631 Grand St
Jersey City, NJ 07304
Phone (201) 830-2280

254 Easton Ave
New Brunswick, NJ 08901
Phone (732) 565-5453

125 Paterson St
Ste 6100
New Brunswick, NJ 08901
Phone (732) 235-6561

123 How Ln
New Brunswick, NJ 08901
Phone (732) 448-1000

125 Paterson St
Ste 5100
New Brunswick, NJ 08901
Phone (732) 235-7060

205 S Orange Ave
Newark, NJ 07103
Phone (973) 972-0670

150 Bergen St
Newark, NJ 07103
Phone (973) 972-6056

205 S Orange Ave
Ste A1020
Newark, NJ 07103
Phone (973) 972-2688

680 Kinderkamack Rd
Ste 300
Oradell, NJ 07649
Phone (201) 881-7869

1 Capital Way
Pennington, NJ 08534
Phone (609) 303-4000

110 Rehill Ave
Somerville, NJ 08876
Phone (908) 429-5833

30 Rehill Ave
Somerville, NJ 08876
Phone (908) 481-1270

30 Rehill Ave
Ste 2300
Somerville, NJ 08876
Phone (732) 235-7802

1140 Route 72 W
Stafford Township, NJ 08050
Phone (609) 978-2194

Interoperability endpoints

  • Direct secure messaging: gdesai135022@epicdirect.rwjbh.org
  • Direct secure messaging: gopal.desai.1@12833.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/12833/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/8568/brand/1/csg/1/fhir/r4

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 3

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": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1104870450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "579A CRANBURY ROAD",
            "address_2": "UNIVERSITY RADIOLOGY GROUP PC",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "08816",
            "telephone_number": "732-390-0040",
            "fax_number": "732-390-1856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CAPITAL WAY",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "085342520",
            "telephone_number": "609-303-4244"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "254 Easton Ave",
            "address_2": "Saint Peters University Hospital",
            "address_purpose": "LOCATION",
            "city": "New Brunswick",
            "state": "NJ",
            "postal_code": "089011766",
            "country_code": "US",
            "telephone_number": "732-390-0040",
            "fax_number": "732-390-1856",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESAI",
        "first_name": "GOPAL",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NJ",
            "license": "25MA06695600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02758501",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8722706",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gopal.desai.1@12833.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1 Capital Way",
            "city": "Pennington",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "085342520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pennington, NJ

Sources for this page

Verify at the official NPI Registry.