Individual provider Active NPI

Vyomesh B. Desai, D.M.D.

  • General Practice Dentistry
  • East Brunswick, NJ
National Provider Identifier
1366465544
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DI 16171 Issued in NJ
Practice address
385 State Route 18
Unit a
East Brunswick, NJ 08816-5703
Phone
(732) 613-8765
Fax
(732) 613-8766
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DI 16171 NJ Primary

Addresses

Primary practice location

385 State Route 18
Unit a
East Brunswick, NJ 08816-5703

Mailing address

385 State Route 18
Unit a
East Brunswick, NJ 08816-5703
Phone (732) 613-8765

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DI 16171NJMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366465544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 STATE ROUTE 18",
            "address_2": "UNIT A",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088165703",
            "telephone_number": "732-613-8765",
            "fax_number": "732-613-8766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 STATE ROUTE 18",
            "address_2": "UNIT A",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088165703",
            "telephone_number": "732-613-8765",
            "fax_number": "732-613-8766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAI",
        "first_name": "VYOMESH",
        "middle_name": "B.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI 16171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.