Individual provider Active NPI

Amisha Desai, OD

  • Optometrist
  • Moorestown, NJ
National Provider Identifier
1457099251
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
270A00711900 Issued in NJ
Practice address
400 W Route 38 Unit 1365
Moorestown, NJ 08057-3219
Phone
(856) 787-0103
Fax
(856) 787-0914
NPI assigned
May 23, 2022
Last updated
Oct 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 270A00711900 NJ Primary

Addresses

Primary practice location

400 W Route 38 Unit 1365
Moorestown, NJ 08057-3219

Mailing address

400 W Route 38 Unit 1365
Moorestown, NJ 08057-3219
Phone (856) 787-0103

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
I20230302001249 NJ Practitioner - Optometry 2668845207

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
270A00711900NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Holistic Eyecare & Wellness LLC Optometrist CurrentSince Sep 8, 2024 Accepting new patients
Bergen Eye Care Clinic Limited Liabilty Company Optometrist PastSince May 1, 2022 Accepting new patients
Optical Palace LLC PastSince May 1, 2022 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1653264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760572800000",
    "number": "1457099251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W ROUTE 38 UNIT 1365",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573219",
            "telephone_number": "856-787-0103",
            "fax_number": "856-787-0914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W ROUTE 38 UNIT 1365",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573219",
            "telephone_number": "856-787-0103",
            "fax_number": "856-787-0914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAI",
        "first_name": "AMISHA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-23",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "270A00711900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorestown, NJ

Sources for this page

Verify at the official NPI Registry.