Individual provider Active NPI

Jignyasa Desai, D.O.

  • Interventional Pain Medicine Physician
  • New York, NY
National Provider Identifier
1306082045
Registry record updated May 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
25MB09000000 Issued in NJ
Practice address
32 West 38 TH Street Suite 501
New York, NY 10001
Phone
(212) 868-0509
NPI assigned
Dec 31, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 25MB09000000 NJ
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 262711 NY
Interventional Pain Medicine Physician 208VP0014X 262711 NY
Interventional Pain Medicine Physician 208VP0014X 25MB09000000 NJ Primary

Addresses

Primary practice location

32 West 38 TH Street Suite 501
New York, NY 10001

Mailing address

190 Sylvan Ave Ste 1
Englewood Cliffs, NJ 07632-2542
Phone (855) 443-2544

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
I20111227000297 NJ Practitioner - Physical Medicine and RehabilitationPractitioner - Interventional Pain Management 4981870896 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Interventional Pain Management
Education
Lake Erie College of Osteopathic Medicine, Erie, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

190 Sylvan Ave
Suite 1
Englewood Cliffs, NJ 07632-2542
Phone (855) 443-2544

3523 Kennedy Blvd
Jersey City, NJ 07307-4126
Phone (201) 217-1224

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MB09000000NJMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maximum Wellness Rehabilitation Center LLC PastSince Jun 13, 2024 Accepting new patients
Premier Spine & Pain Management PC Interventional Pain Medicine Past Accepting new patients
Advanced Spine Care and Physical Rehabilitation,LLC Past Accepting new patients
Northeast Sports Medicine Group, PC Pain Medicine PastSince Sep 13, 2004 Accepting new patients
Jignyasa Desai DO LLC Pain Medicine Past Accepting new patients

Organizations & group practices 6

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": "1230681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557878400000",
    "number": "1306082045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 SYLVAN AVE STE 1",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076322542",
            "telephone_number": "855-443-2544",
            "fax_number": "855-443-2544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 WEST 38 TH STREET SUITE 501",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10001",
            "telephone_number": "212-868-0509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAI",
        "first_name": "JIGNYASA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-31",
        "last_updated": "2019-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NJ",
            "license": "25MB09000000",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NY",
            "license": "262711",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NY",
            "license": "262711",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NJ",
            "license": "25MB09000000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.