Michaela Lanae Desir

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA02003300 Issued in NJ

Practice address

115 Columbus Dr Ste 300
Jersey City, NJ 07302-3551

Phone

(201) 366-1115

Fax

(201) 366-1117

NPI assigned

Dec 19, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Trinity Rehab Somerset PAGroup PAC ID 0547540809, 57 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Trinity Rehab Somerset PA

  • Physical Therapist
  • Somerset, NJ
  • NPI 1245789064
  Medicare reassignment Care Compare group NPD
• Liberty Physical Therapy PC

  • Physical Therapist
  • Jersey City, NJ
  • NPI 1669768735
  NPD
• Trinity Rehab Somerset PA

  • Physical Therapist
  • Flemington, NJ
  • NPI 1003555483
  NPD
• Trinity Rehab Somerset PA

  • Physical Therapy Clinic/Center
  • North Wales, PA
  • NPI 1144892852
  NPD

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

{
    "created_epoch": "1513641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1174039788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 AVE AT PORT IMPERIAL APT 226",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070938392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 COLUMBUS DR STE 300",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073023551",
            "telephone_number": "201-366-1115",
            "fax_number": "201-366-1117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESIR",
        "first_name": "MICHAELA",
        "middle_name": "LANAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-19",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02003300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mandakini Dhirubhai Desai, RPT
• Namrata Desai, AUD
• Roshni J Desai, M.S.,O.D,FAAO
• Vijaya S Desai, MD
• David Desalvo
• Carrie Deutsch Stracquatanio
• Samantha Deutsch, MSW, LSW
• Satya Prasad Devarasetty
• James Christopher Devlin, MD
• DGX Security LLC

• Physical Therapist in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.