Individual provider Active NPI

Rashmikant Sumantlal Desai, MD

  • Cardiovascular Disease Physician
  • Egg Harbor Township, NJ
National Provider Identifier
1437186814
Registry record updated Aug 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
25MA03078800 Issued in NJ
Practice address
2500 English Creek Ave
BLDG. 200, Suite 211
Egg Harbor Township, NJ 08234-5549
Phone
(609) 677-7776
Fax
(609) 677-7509
NPI assigned
Jun 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 25MA03078800 NJ
Cardiovascular Disease Physician 207RC0000X 25MA03078800 NJ Primary

Addresses

Primary practice location

2500 English Creek Ave
BLDG. 200, Suite 211
Egg Harbor Township, NJ 08234-5549

Mailing address

2500 English Creek Ave
BLDG. 200, Suite 211
Egg Harbor Township, NJ 08234-5549
Phone (609) 677-7776

Other identifiers 3

IdentifierTypeStateIssuer
222437740OtherNJHORIZON BC/BS OF NJ
4512502MedicaidNJ
0107386000OtherNJAMERIHEALTH

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
I20040524001240 NJ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 1153312418 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanticare Physician Group CurrentSince Sep 17, 2012 Accepting new patients
Atlanticare Physician Group Past Accepting new patients
Rashmikant S. Desai, MD PA Cardiovascular Disease PastSince Jan 1, 1989 Accepting new patients

Locations

2500 English Creek Ave
Ste 250
Egg Harbor Township, NJ 08234
Phone (609) 272-6326

2500 English Creek Ave
Ste 200
Egg Harbor Township, NJ 08234
Phone (609) 677-6000

2500 English Creek Ave
Ste 211
Egg Harbor Twp, NJ 08234
Phone (609) 677-6000

2500 English Creek Ave
Ste 223
Egg Harbor Twp, NJ 08234
Phone (609) 407-2277

2500 English Creek Ave
Ste 905
Egg Harbor Twp, NJ 08234
Phone (609) 407-2383

459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815

65 W Jimmie Leeds Rd
Pomona, NJ 08240
Phone (609) 484-6414

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628812800000",
    "number": "1437186814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 ENGLISH CREEK AVE",
            "address_2": "BLDG. 200, SUITE 211",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082345549",
            "telephone_number": "609-677-7776",
            "fax_number": "609-677-7509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 ENGLISH CREEK AVE",
            "address_2": "BLDG. 200, SUITE 211",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082345549",
            "telephone_number": "609-677-7776",
            "fax_number": "609-677-7509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAI",
        "first_name": "RASHMIKANT",
        "middle_name": "SUMANTLAL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2021-08-13",
        "certification_date": "2021-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NJ",
            "license": "25MA03078800",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA03078800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON BC/BS OF NJ",
            "identifier": "222437740",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4512502",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0107386000",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Egg Harbor Township, NJ

Sources for this page

Verify at the official NPI Registry.