Active NPI
Luca Desimone, M.D.
- Internal Medicine Physician
- Edison, NJ
National Provider Identifier
1104897388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 25MA07410900
- Practice address
- 2 Lincoln Hwy Ste 410
Edison, NJ 08820-3961 - Phone
- (908) 834-8030
- Fax
- (908) 834-8033
- NPI assigned
- Jan 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25MA07410900 | NJ | Primary |
| Nephrology Physician | 207RN0300X | 25MA07410900 | NJ |
Addresses
Primary practice location
2 Lincoln Hwy Ste 410
Edison, NJ 08820-3961
Mailing address
2 Lincoln Hwy Ste 410
Edison, NJ 08820-3961
Phone (908) 834-8030
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0011525 | Medicaid | NJ | |
| 2296513 | Other | UNITED H/CARE | |
| 3242041 | Other | AETNA | |
| 201805266A | Other | NJ | HORIZON BLUE SHIELD |
| P3517932 | Other | OXFORD |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2 Lincoln Hwy
Suite 410
Edison, NJ 08820-3961
Phone (908) 834-8030
237 Cranford Ave
Cranford, NJ 07016-2501
Hospital & facility affiliations
- DaVita Woodbridge Dialysis Center
- DaVita South Edison
- FMC Edison
- JFK University Medical Center
- Aristacare at Cedar Oaks
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luca de Simone Kidney Disease Specialists LLC | Nephrology | Current | Accepting new patients |
| Cedar Oaks Healthcare, LLC | Past | Accepting new patients |
Locations
2 Lincoln Hwy
Ste 410
Edison, NJ 08820
Phone (732) 672-3140
4 Progress St
Ste B4
Edison, NJ 08820
Phone (732) 319-6866
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BIHHBA/Endpoint/BIHHBA
Organizations & group practices 2
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.
-
- Nephrology Physician
- Edison, NJ
- NPI 1811179476
-
- Skilled Nursing Facility
- South Plainfield, NJ
- NPI 1497872956
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Edison, NJ
- NPI 1417250499
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Edison, NJ
- NPI 1225704125
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Woodbridge, NJ
- NPI 1093054629
Dialysis facility
-
- Skilled Nursing Facility
- South Plainfield, NJ
- NPI 1497872956
Nursing home
-
- General Acute Care Hospital
- Edison, NJ
- NPI 1144894577
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780272000000",
"number": "1104897388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 LINCOLN HWY STE 410",
"city": "EDISON",
"state": "NJ",
"postal_code": "088203961",
"telephone_number": "908-834-8030",
"fax_number": "908-834-8033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 LINCOLN HWY STE 410",
"city": "EDISON",
"state": "NJ",
"postal_code": "088203961",
"telephone_number": "908-834-8030",
"fax_number": "908-834-8033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESIMONE",
"first_name": "LUCA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-27",
"last_updated": "2026-06-01",
"certification_date": "2026-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA07410900",
"primary": true
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "NJ",
"license": "25MA07410900",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0011525",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED H/CARE",
"identifier": "2296513",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "3242041",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON BLUE SHIELD",
"identifier": "201805266A",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P3517932",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Edison, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.