Active NPI
Vardhini Desikan, M.D
- Pediatric Endocrinology Physician
- Sleepy Hollow, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Endocrinology Physician
- License
- 232969
- Practice address
- 755 N Broadway
Suite 400
Sleepy Hollow, NY 10591-1075 - Phone
- (914) 366-3400
- Fax
- (914) 366-3407
- NPI assigned
- Sep 12, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Endocrinology Physician | 2080P0205X | 232969 | NY | Primary |
| Pediatric Endocrinology Physician | 2080P0205X | 25MA12877900 | NJ |
Addresses
Primary practice location
755 N Broadway
Suite 400
Sleepy Hollow, NY 10591-1075
Mailing address
1 Federal St Ste 200
Camden, NJ 08103-1088
Phone (848) 288-6935
Other practice location 1
3 Cooper Plz Rm 200
Camden, NJ 08103-1438
Phone (856) 342-2001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03072057 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Endocrinology
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
755 N Broadway
Suite 400
Sleepy Hollow, NY 10591-1076
Phone (914) 594-2387
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA12877900 | NJ | MD | Pediatric Endocrinology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boston Children'S Health Physicians, LLP | Pediatric Endocrinology | Current | Accepting new patients |
| Boston Childrens Health Physicians LLP | Current | Accepting new patients | |
| Cooper Pediatric Specialists, PC | Current | Accepting new patients |
Locations
3 Cooper Plz
Rm 200
Camden, NJ 08103
Phone (609) 342-2001
1 Cooper Plz
Bldg 7TH
Camden, NJ 08103
6400 Main St
Voorhees, NJ 08043
Phone (609) 751-9339
19 Bradhurst Ave
Hawthorne, NY 10532
Phone (914) 493-7235
755 N Broadway
Ste 400
Sleepy Hollow, NY 10591
Phone (914) 366-3400
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- vardhini.desikan.p1@direct.cwpw.nextgenshare.com
Organizations & group practices 3
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.
-
- Pediatrics Physician
- Hawthorne, NY
- NPI 1467454967
Pediatric Endocrinology
-
- Pediatrics Physician
- Camden, NJ
- NPI 1306867585
-
- Clinical Medical Laboratory
- Sleepy Hollow, NY
- NPI 1588651079
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763942400000",
"number": "1295984383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 FEDERAL ST STE 200",
"city": "CAMDEN",
"state": "NJ",
"postal_code": "081031088",
"telephone_number": "848-288-6935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "755 N BROADWAY",
"address_2": "SUITE 400",
"city": "SLEEPY HOLLOW",
"state": "NY",
"postal_code": "105911075",
"telephone_number": "914-366-3400",
"fax_number": "914-366-3407"
}
],
"practiceLocations": [
{
"address_1": "3 Cooper Plz Rm 200",
"address_purpose": "LOCATION",
"city": "Camden",
"state": "NJ",
"postal_code": "081031438",
"country_code": "US",
"telephone_number": "856-342-2001",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DESIKAN",
"first_name": "VARDHINI",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-12",
"last_updated": "2025-11-24",
"certification_date": "2025-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0205X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Endocrinology",
"state": "NY",
"license": "232969",
"primary": true
},
{
"code": "2080P0205X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Endocrinology",
"state": "NJ",
"license": "25MA12877900",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03072057",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sleepy Hollow, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; 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.