NPIMap

Individual provider Active NPI

Vivek Arvind Desai, PA-C

  • Physician Assistant
  • Hackensack, NJ
National Provider Identifier
1194177972
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
62004 Issued in CA
Practice address
20 Prospect Ave
Hackensack, NJ 07601-1997
Phone
(551) 996-8867
NPI assigned
Jul 6, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA6015 MA
Surgical Physician Assistant 363AS0400X 25MP00483300 NJ
Physician Assistant 363A00000X PA2330 ME
Surgical Physician Assistant 363AS0400X 055.0031539 VT
Surgical Physician Assistant 363AS0400X PA2330 ME
Physician Assistant 363A00000X 62004 CA Primary

Addresses

Primary practice location

20 Prospect Ave
Hackensack, NJ 07601-1997

Mailing address

331 Newman Springs Rd Ste 220
Red Bank, NJ 07701-5792
Phone (732) 807-0877

Other practice location 1

1493 Cambridge St
Cambridge, MA 02139-1047
Phone (617) 665-1566

Other practice location 2

17 Belmont Ave Ste 1
Brattleboro, VT 05301-3498
Phone (802) 257-0341

Other practice location 3

4 Glen Cove Dr
Rockport, ME 04856-4235
Phone (207) 661-2018

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NJ, NY, OH, ME, CA6 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
I20170320001715 MA Practitioner - Physician Assistant 4981989662 Reassigns benefits to 1 organization
I20190411003057 NJ Practitioner - Physician Assistant 4981989662 Reassigns benefits to 1 organization
I20210122001919 NY Practitioner - Physician Assistant 4981989662
I20220712003959 OH Practitioner - Physician Assistant 4981989662 Reassigns benefits to 1 organization
I20230307001763 ME Practitioner - Physician Assistant 4981989662 Reassigns benefits to 3 organizations
I20250417000808 CA Practitioner - Physician Assistant 4981989662

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Boston University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MainehealthGroup PAC ID 7517860588, shared by 31 NPIs, 2,616 clinicians

Practice addresses (Care Compare)

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905

4 Glen Cove Dr
Suite 206
Rockport, ME 04856-4239
Phone (207) 921-5454

6 Glen Cove Dr
Rockport, ME 04856-4272
Phone (207) 921-8969

Hospital & facility affiliations

  • Mainehealth Home Health and Hospice Home health agency, Saco, ME, CCN 207000
  • Mainehealth Pen Bay Hospital Hospital, Rockport, ME, CCN 200063
  • Mainehealth Maine Medical Center Hospital, Portland, ME, CCN 200009
  • Mainehealth Waldo Hospital Hospital, Belfast, ME, CCN 201312

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
055.0031539VTMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Riverbend Medical Group, Inc CurrentSince Dec 4, 2023 Accepting new patients
Mainehealth Current Accepting new patients
Mainehealth Current Accepting new patients
Mainehealth CurrentSince Sep 15, 2025 Accepting new patients
Ohiohealth Corporation CurrentSince Jun 1, 2022 Accepting new patients
Mainehealth CurrentSince Sep 15, 2025 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Dec 5, 2024 Accepting new patients
Brattleboro Memorial Hospital PastSince Sep 1, 2021 Accepting new patients
Mainehealth Past Accepting new patients

Locations

271 Carew St
Springfield, MA 01104
Phone (413) 748-9000

116 Northport Ave
Ste 214
Belfast, ME 04915
Phone (207) 505-4398

24 Miles Center Way
#1
Damariscotta, ME 04543

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

4 Glen Cove Dr
Rockport, ME 04856
Phone (207) 301-5500

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

20 Prospect Ave
Hackensack, NJ 07601
Phone (201) 996-2816

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/d9dc001d-1bc5-42f9-bd4d-eb79208fd32a/
  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

Organizations & group practices 13

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 13

Hospital & facility affiliations 40

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1467763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1194177972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 NEWMAN SPRINGS RD STE 220",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015792",
            "telephone_number": "732-807-0877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 PROSPECT AVE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011997",
            "telephone_number": "551-996-8867"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1493 Cambridge St",
            "address_purpose": "LOCATION",
            "city": "Cambridge",
            "state": "MA",
            "postal_code": "021391047",
            "country_code": "US",
            "telephone_number": "617-665-1566",
            "fax_number": "617-665-2699",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17 Belmont Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Brattleboro",
            "state": "VT",
            "postal_code": "053013498",
            "country_code": "US",
            "telephone_number": "802-257-0341",
            "fax_number": "802-257-8834",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4 Glen Cove Dr",
            "address_purpose": "LOCATION",
            "city": "Rockport",
            "state": "ME",
            "postal_code": "048564235",
            "country_code": "US",
            "telephone_number": "207-661-2018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESAI",
        "first_name": "VIVEK",
        "middle_name": "ARVIND",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-06",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA6015",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NJ",
            "license": "25MP00483300",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ME",
            "license": "PA2330",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "VT",
            "license": "055.0031539",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "ME",
            "license": "PA2330",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "62004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

Verify at the official NPI Registry.