Individual provider Active NPI

Rajendra Desai, MD

  • Cardiovascular Disease Physician
  • Millburn, NJ
National Provider Identifier
1144338641
Registry record updated Jul 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MA056427 Issued in NJ
Practice address
116 Millburn Ave
Suite 213
Millburn, NJ 07041-1943
Phone
(973) 376-8454
Fax
(973) 376-7808
NPI assigned
Aug 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MA056427 NJ Primary

Addresses

Primary practice location

116 Millburn Ave
Suite 213
Millburn, NJ 07041-1943

Mailing address

116 Millburn Ave
Suite 213
Millburn, NJ 07041-1943
Phone (973) 376-8454

Other identifiers 1

IdentifierTypeStateIssuer
7316500MedicaidNJ

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
I20100113000392 NJ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 5698878734 Practice locations: Millburn, NJ

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

116 Millburn Ave
Suite 214
Millburn, NJ 07041-1919
Phone (973) 376-8454

Hospital & facility affiliations

  • Cooperman Barnabas Medical Center Hospital, Livingston, NJ, CCN 310076
  • Clara Maass Medical Center Hospital, Belleville, NJ, CCN 310009
  • Newark Beth Israel Medical Center Hospital, Newark, NJ, CCN 310002
  • Carewell Health Medical Center Hospital, East Orange, NJ, CCN 310083
  • Stratford Manor Rehabilitation and Care Center Nursing home, West Orange, NJ, CCN 315066

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA056427NJMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clara Maass Medical Center Past Accepting new patients

Organizations & group practices 1

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.

Hospital & facility affiliations 5

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": "1156550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342656000000",
    "number": "1144338641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 MILLBURN AVE",
            "address_2": "SUITE 213",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411943",
            "telephone_number": "973-376-8454",
            "fax_number": "973-376-7808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 MILLBURN AVE",
            "address_2": "SUITE 213",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411943",
            "telephone_number": "973-376-8454",
            "fax_number": "973-376-7808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAI",
        "first_name": "RAJENDRA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-26",
        "last_updated": "2012-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "MA056427",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7316500",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Millburn, NJ

Sources for this page

Verify at the official NPI Registry.