Active NPI
Michelina Desanti, D.O.
- Gynecology Physician
- Columbia, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 25MB05592900
- 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, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6444300 | Medicaid | NJ | |
| F16592 | Other | NJ | HEALTHNET |
| 0974420 | Other | NJ | AETNA |
| XP031 | Other | NJ | OXFORD |
| 1817916 | Other | NJ | UNITED HEALTHCARE |
| 4201059 | Other | NJ | CIGNA |
| 223554030 | Other | NJ | HORIZON 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
- 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| All About Wellness, LLC | Gynecology | Past | 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.
-
dba JFK University Medical Center
- General Acute Care Hospital
- Edison, NJ
- NPI 1144894577
-
dba Hackensack Meridian Diagnostic Laboratory
- Clinical Medical Laboratory
- Edison, NJ
- NPI 1780301366
Hospital
-
dba Saint Clare's Hospital
- General Acute Care Hospital
- Denville, NJ
- NPI 1598144362
-
- General Acute Care Hospital
- East Stroudsburg, PA
- NPI 1568459436
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; 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; Opt Out Affidavits.
- 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.