Individual provider Active NPI

Charmil Desai, DPT

  • Physical Therapist
  • Lincoln Park, NJ
National Provider Identifier
1225728041
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA02169500 Issued in NJ
Practice address
212 Main St Ste B
Lincoln Park, NJ 07035-1786
Phone
(973) 696-2999
Fax
(973) 696-3030
NPI assigned
May 15, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA02169500 NJ Primary

Addresses

Primary practice location

212 Main St Ste B
Lincoln Park, NJ 07035-1786

Mailing address

PO Box 1014
Clark, NJ 07066-1014
Phone (732) 855-9751

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230525003253 NJ Practitioner - Physical Therapist in Private Practice 2264898741 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Proform Physical Therapy LLCGroup PAC ID 9436383114, 18 clinicians
Trinity Rehab Somerset PAGroup PAC ID 0547540809, 57 clinicians

Practice addresses (Care Compare)

1077 State Route 34
Suite M
Aberdeen, NJ 07747-2151
Phone (732) 970-7882

465 Cranbury Rd
Suite 103
East Brunswick, NJ 08816-7600
Phone (800) 518-0977

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Twin Boro Physical Therapy Associates PA Physical Therapist CurrentSince May 15, 2023 Accepting new patients
Twin Boro Physical Therapy Associates, PA CurrentSince May 15, 2023 Accepting new patients
Trinity Rehab Somerset PA Physical Therapist Current Accepting new patients
Trinity Rehab Somerset PA CurrentSince Aug 18, 2025 Accepting new patients
Pro Staff Physical Therapy PC Physical Therapist CurrentSince Aug 1, 2023 Accepting new patients
Trinity Rehab Somerset PA CurrentSince Aug 18, 2025 Accepting new patients

Locations

935 Allwood Rd
Fl First
Clifton, NJ 07012
Phone (973) 928-3590

20 Commerce Dr
Ste 210
Cranford, NJ 07016

465 Cranbury Rd
Ste 103
East Brunswick, NJ 08816
Phone (732) 254-7085

212 Main St
Ste B
Lincoln Park, NJ 07035
Phone (201) 788-7218

1931 Washington Valley Rd
Martinsville, NJ 08836
Phone (732) 271-1000

2050 State Route 27
Ste 107
North Brunswick, NJ 08902
Phone (732) 745-2727

310 New Rd
Parsippany, NJ 07054
Phone (973) 396-8667

328 Newman Springs Rd
Ste 10
Red Bank, NJ 07701

141 Route 46
Rockaway, NJ 07866
Phone (973) 983-5607

175 Route 37 W
#R
Toms River, NJ 08755

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1684108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1225728041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1014",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070661014",
            "telephone_number": "732-855-9751",
            "fax_number": "732-855-9755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 MAIN ST STE B",
            "city": "LINCOLN PARK",
            "state": "NJ",
            "postal_code": "070351786",
            "telephone_number": "973-696-2999",
            "fax_number": "973-696-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAI",
        "first_name": "CHARMIL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-15",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02169500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.