Individual provider Active NPI

Michelina Desanti, D.O.

  • Gynecology Physician
  • Columbia, NJ
National Provider Identifier
1487766416
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
25MB05592900 Issued in NJ
Practice address
576 State Route 94
Columbia, NJ 07832-2523
Phone
(908) 496-9400
Fax
(908) 496-9414
NPI assigned
Aug 31, 2006
Last updated
Jan 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 25MB05592900 NJ
Gynecology Physician 207VG0400X 25MB05592900 NJ Primary

Addresses

Primary practice location

576 State Route 94
Columbia, NJ 07832-2523

Mailing address

576 State Route 94
Columbia, NJ 07832-2523
Phone (908) 496-9400

Other practice location 1

1139 Raritan Rd Ste 204
Clark, NJ 07066-1344
Phone (732) 669-0999

Other identifiers 7

IdentifierTypeStateIssuer
6444300MedicaidNJ
F16592OtherNJHEALTHNET
0974420OtherNJAETNA
XP031OtherNJOXFORD
1817916OtherNJUNITED HEALTHCARE
4201059OtherNJCIGNA
223554030OtherNJHORIZON BCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Dec 1, 2025 through Dec 1, 2027

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Rowan University School of Osteopathic Medicine, 1989
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

576 State Route 94
Columbia, NJ 07832

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
All About Wellness, LLC Gynecology PastSince Oct 1, 2023 Accepting new patients

Organizations & group practices 1

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1487766416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "576 STATE ROUTE 94",
            "city": "COLUMBIA",
            "state": "NJ",
            "postal_code": "078322523",
            "telephone_number": "908-496-9400",
            "fax_number": "908-496-9414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "576 STATE ROUTE 94",
            "city": "COLUMBIA",
            "state": "NJ",
            "postal_code": "078322523",
            "telephone_number": "908-496-9400",
            "fax_number": "908-496-9414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1139 Raritan Rd Ste 204",
            "address_purpose": "LOCATION",
            "city": "Clark",
            "state": "NJ",
            "postal_code": "070661344",
            "country_code": "US",
            "telephone_number": "732-669-0999",
            "fax_number": "732-669-0994",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESANTI",
        "first_name": "MICHELINA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MB05592900",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NJ",
            "license": "25MB05592900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6444300",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "F16592",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0974420",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "XP031",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1817916",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4201059",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON BCBS",
            "identifier": "223554030",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, NJ

Sources for this page

Verify at the official NPI Registry.