Amita S. Desai, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MA054053 Issued in NJ

Practice address

383 West State Street
Catholic Charities
Trenton, NJ 08618

Phone

(609) 394-5181

Fax

(609) 386-4703

NPI assigned

Jan 5, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Psychiatry

Education

Other, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Catholic Charities Diocese of TrentonGroup PAC ID 0345214466, 30 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Virtua Willingboro Hospital Hospital, Willingboro, NJ, CCN 310061

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Catholic Charities, Diocese of Trenton

  • Community/Behavioral Health Agency
  • Trenton, NJ
  • NPI 1306888656
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Virtua Willingboro Hospital Inc

  dba Virtua Health & Wellness Center

  • General Acute Care Hospital
  • Willingboro, NJ
  • NPI 1053316844
  Care Compare affiliation

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1477600971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 NOLEN CIR",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434110",
            "telephone_number": "856-264-9025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "383 WEST STATE STREET",
            "address_2": "CATHOLIC CHARITIES",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "08618",
            "telephone_number": "609-394-5181",
            "fax_number": "609-386-4703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAI",
        "first_name": "AMITA",
        "middle_name": "S.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "MA054053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ MEDICAL LICENSE",
            "identifier": "MA054053",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abdullah Demirkaya
• Marcus Demott, MSW, LSW
• Department of Children and Families (Dyfs)
• Department of Health and Senior Services (New Jersey Early Intervention System)
• Rikhil P Derashri
• Hetal Desai, RPH
• Gianna Desantis, LSW
• Michael S Deshields, M.D.
• Dessalines Pride LLC
• Developmental Disabilities Support Services

• Psychiatry Physician in Trenton, NJ
• Providers in Trenton, NJ by specialty
• Psychiatry Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.

Verify at the official NPI Registry.