Individual provider Active NPI

Bakul Desai, MD

  • Cardiovascular Disease Physician
  • North Bergen, NJ
National Provider Identifier
1376654624
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
25MA03746000 Issued in NJ
Practice address
1625 JFK Blvd
North Bergen, NJ 07047
Phone
(201) 216-3060
Fax
(201) 499-0253
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 25MA03746000 NJ Primary

Addresses

Primary practice location

1625 JFK Blvd
North Bergen, NJ 07047

Mailing address

1625 JKF Blvd
North Bergen, NJ 07047-6302
Phone (201) 216-3060

Other identifiers 1

IdentifierTypeStateIssuer
3705307MedicaidNJ

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
I20040219000125 NJ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 8729973771 Reassigns benefits to 1 organization
Practice locations: Jersey City, NJ

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

600 Pavonia Ave
Suite 8
Jersey City, NJ 07306-2930
Phone (201) 216-3060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Heart Center of Hudson County, LLC Cardiovascular Disease CurrentSince Jun 27, 2018 Accepting new patients
Institute for Better Breathing PC Past Accepting new patients
Heart Center Secaucus LLC Cardiovascular Disease PastSince Jun 27, 2018 Accepting new patients
Cardio Pulmonary Diagnostic LLC Cardiovascular Disease Past Accepting new patients
Secaucus Heart Cardiovascular Disease Past Accepting new patients
Heart Center of Jersey, PA LLC Cardiovascular Disease PastSince Aug 14, 2007 Accepting new patients

Locations

600 Pavonia Ave
Ste 5
Jersey City, NJ 07306
Phone (201) 216-3050

600 Pavonia Ave
Ste 8
Jersey City, NJ 07306
Phone (201) 216-3060

1625 Kennedy Blvd
North Bergen, NJ 07047
Phone (201) 210-8235

714 10th St
Ste 1
Secaucus, NJ 07094
Phone (201) 392-9127

1265 Paterson Plank Rd
Secaucus, NJ 07094
Phone (201) 348-8828

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1376654624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 JKF BLVD",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070476302",
            "telephone_number": "201-216-3060",
            "fax_number": "201-499-0253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 JFK BLVD",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "07047",
            "telephone_number": "201-216-3060",
            "fax_number": "201-499-0253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAI",
        "first_name": "BAKUL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA03746000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3705307",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bergen, NJ

Sources for this page

Verify at the official NPI Registry.