Individual provider Active NPI

Rohan Gaurang Desai, DPM

  • Foot & Ankle Surgery Podiatrist
  • Springfield, NJ
National Provider Identifier
1366903379
Registry record updated Jul 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
25MD00366700 Issued in NJ
Practice address
100 Morris Ave
Ste 304
Springfield, NJ 07081-1423
Phone
(973) 258-0111
Fax
(973) 258-0123
NPI assigned
Mar 31, 2019
Last updated
Jul 4, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Foot & Ankle Surgery Podiatrist 213ES0103X 25MD00366700 NJ Primary

Addresses

Primary practice location

100 Morris Ave
Ste 304
Springfield, NJ 07081-1423

Mailing address

100 Morris Ave
Ste 304
Springfield, NJ 07081-1423
Phone (973) 258-0111

Other practice location 1

100 Madison Ave
Morristown, NJ 07960-6136
Phone (973) 971-5000

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220611000026 NJ Practitioner - Podiatry 6103204623 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

100 Morris Ave
Suite 304
Springfield, NJ 07081-1423
Phone (973) 258-0111

328 W Saint Georges Ave
Linden, NJ 07036-5638

456 Prospect Ave
West Orange, NJ 07052-4112
Phone (973) 731-6767

90 Route 22
Springfield, NJ 07081-3110
Phone (973) 467-2273

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue334
Removal of skin lesions1-10
Removal of nail tissue65
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Foot and Ankle Physicians of NJ, LLC Foot & Ankle Surgery CurrentSince Aug 1, 2022 Accepting new patients
Robert Wood Johnson Medical Associates at Hamilton PA CurrentSince Sep 5, 2022 Accepting new patients
Robert Wood Johnson Medical Associates at Hamilton PA CurrentSince Sep 5, 2022 Accepting new patients
Foot and Ankle Physicians of NJ, LLC Foot & Ankle Surgery CurrentSince Jan 29, 2023 Accepting new patients

Locations

328 W Saint Georges Ave
Linden, NJ 07036
Phone (608) 925-2273

290 Madison Ave
Ste 5
Morristown, NJ 07960
Phone (973) 538-7171

100 Morris Ave
Ste 304
Springfield, NJ 07081
Phone (973) 258-0111

90 US Highway 22 W
Springfield, NJ 07081
Phone (973) 467-0963

456 Prospect Ave
West Orange, NJ 07052
Phone (908) 925-2273

Interoperability endpoints

  • Direct secure messaging: rdesai186798@direct.ahsys.org
  • Direct secure messaging: rohan.desai@footandanklephys.directbygreenway.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1553990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656892800000",
    "number": "1366903379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MORRIS AVE",
            "address_2": "STE 304",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070811423",
            "telephone_number": "973-258-0111",
            "fax_number": "973-258-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MORRIS AVE",
            "address_2": "STE 304",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070811423",
            "telephone_number": "973-258-0111",
            "fax_number": "973-258-0123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Madison Ave",
            "address_purpose": "LOCATION",
            "city": "Morristown",
            "state": "NJ",
            "postal_code": "079606136",
            "country_code": "US",
            "telephone_number": "973-971-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESAI",
        "first_name": "ROHAN",
        "middle_name": "GAURANG",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-31",
        "last_updated": "2022-07-04",
        "certification_date": "2022-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00366700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, NJ

Sources for this page

Verify at the official NPI Registry.