Organization Active NPI

Anish Desai Internal Medicine PLLC

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1356196786
Registry record updated Apr 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ANISH DESAI INTERNAL MEDICINE PLLC
Practice address
6201 15TH Ave Ste 305
Brooklyn, NY 11219-5411
Phone
(732) 630-6641
NPI assigned
Apr 19, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2024

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

Authorized official

Name
Anish Desai, MDNPI 1104321140
Title
MD
Phone
(732) 630-6641

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

6201 15TH Ave Ste 305
Brooklyn, NY 11219-5411

Mailing address

6201 15TH Ave Ste 305
Brooklyn, NY 11219-5411
Phone (732) 630-6641

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240523000497 NY Part B Supplier - Clinic/Group Practice 5092157966 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

6201 15th Ave
Brooklyn, NY 11219
Phone (718) 799-4600

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1713484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713484800000",
    "number": "1356196786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 15TH AVE STE 305",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112195411",
            "telephone_number": "732-630-6641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 15TH AVE STE 305",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112195411",
            "telephone_number": "732-630-6641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANISH DESAI INTERNAL MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-19",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A",
        "authorized_official_last_name": "DESAI",
        "authorized_official_first_name": "ANISH",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "732-630-6641",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.