Organization Active NPI

Desai Endocrine Associates, PC

  • Medical Specialty Clinic/Center
  • Hillsborough, NJ
National Provider Identifier
1457588014
Registry record updated Oct 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
25MB08065200 Issued in NJ
Legal business name
DESAI ENDOCRINE ASSOCIATES, PC
Practice address
105 Raider Blvd.
Suite 200
Hillsborough, NJ 08844
Phone
(908) 829-4244
NPI assigned
Jun 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2012

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

Authorized official

Name
Dr. Navtika R Desai, DONPI 1053376954
Title
Owner/Office Manager
Phone
(908) 829-4244

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 25MB08065200 NJ Primary

Addresses

Primary practice location

105 Raider Blvd.
Suite 200
Hillsborough, NJ 08844

Mailing address

140 Top of the World Way
Green Brook, NJ 08812-1839
Phone (609) 937-3139

Other identifiers 1

IdentifierTypeStateIssuer
163732OtherNJMEDICARE PTAN

Other names 1

  • Full Circle Endocrinology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091005000295 NJ Part B Supplier - Clinic/Group Practice 0143366203 Receives reassigned benefits from 1 practitioner
Practice locations: Manville, NJ

National Provider Directory

National Provider Directory

Locations

105 Raider Blvd
Ste 200
Hillsborough, NJ 08844
Phone (908) 829-4244

311 S Main St
Ste 1
Manville, NJ 08835
Phone (908) 829-4244

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1245628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351036800000",
    "number": "1457588014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 TOP OF THE WORLD WAY",
            "city": "GREEN BROOK",
            "state": "NJ",
            "postal_code": "088121839",
            "telephone_number": "609-937-3139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 RAIDER BLVD.",
            "address_2": "SUITE 200",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "08844",
            "telephone_number": "908-829-4244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESAI ENDOCRINE ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-22",
        "last_updated": "2012-10-24",
        "status": "A",
        "authorized_official_last_name": "DESAI",
        "authorized_official_first_name": "NAVTIKA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/OFFICE MANAGER",
        "authorized_official_telephone_number": "908-829-4244",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NJ",
            "license": "25MB08065200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "163732",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Full Circle Endocrinology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hillsborough, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.