Active NPI
Gesner Desir
- Driver
- Everett, MA
National Provider Identifier
1407555006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- S65715874
- Practice address
- 148 Irving St
Everett, MA 02149-4909 - Phone
- (857) 888-4373
- NPI assigned
- Mar 2, 2023
- 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 |
|---|---|---|---|---|
| Driver | 172A00000X | S65715874 | MA | Primary |
Addresses
Primary practice location
148 Irving St
Everett, MA 02149-4909
Mailing address
150 Lewis St Apt 309
Lynn, MA 01902-4867
Phone (857) 888-4373
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
| License | State | Type | Specialty |
|---|---|---|---|
| S65715874 | MA | MD | Driver |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677715200000",
"number": "1407555006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 LEWIS ST APT 309",
"city": "LYNN",
"state": "MA",
"postal_code": "019024867",
"telephone_number": "857-888-4373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "148 IRVING ST",
"city": "EVERETT",
"state": "MA",
"postal_code": "021494909",
"telephone_number": "857-888-4373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESIR",
"first_name": "GESNER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-03-02",
"last_updated": "2023-03-02",
"certification_date": "2023-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "MA",
"license": "S65715874",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Everett, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.