Active NPI
Bakul Desai, MD
- Cardiovascular Disease Physician
- North Bergen, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 25MA03746000
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3705307 | Medicaid | NJ |
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
- Cardiovascular Disease (Cardiology)
- 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.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heart Center of Hudson County, LLC | Cardiovascular Disease | Current | Accepting new patients |
| Institute for Better Breathing PC | Past | Accepting new patients | |
| Heart Center Secaucus LLC | Cardiovascular Disease | Past | 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 | Past | 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.
-
- Cardiovascular Disease Physician
- North Bergen, NJ
- NPI 1295837748
-
- Cardiovascular Disease Physician
- Jersey City, NJ
- NPI 1588766026
-
- Cardiovascular Disease Physician
- Secaucus, NJ
- NPI 1992898415
-
- Cardiovascular Disease Physician
- Elizabeth, NJ
- NPI 1023112638
-
- Cardiovascular Disease Physician
- Jersey City, NJ
- NPI 1538412796
-
- Pulmonary Disease Physician
- Jersey City, NJ
- NPI 1265542294
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; 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.