Active NPI
Jignyasa Desai, D.O.
- Interventional Pain Medicine Physician
- New York, NY
National Provider Identifier
1306082045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- 25MB09000000
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 25MB09000000 | NJ | MD | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maximum Wellness Rehabilitation Center LLC | Past | 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 | Past | 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.
-
- Interventional Pain Medicine Physician
- Jersey City, NJ
- NPI 1720323983
-
- Pain Medicine Physician
- Englewood Cliffs, NJ
- NPI 1750747085
-
- Multi-Specialty Clinic/Center
- Jackson, NJ
- NPI 1891816914
-
- Physical Therapist
- Toms River, NJ
- NPI 1285147017
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Point Pleasant Boro, NJ
- NPI 1811010549
-
- Interventional Pain Medicine Physician
- Clifton, NJ
- NPI 1518216092
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2019; 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.