Derrick M. Desilva, Jr. MD

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

Legal business name

DERRICK M. DESILVA, JR. MD

Practice address

629 Amboy Ave
Edison, NJ 08837-3579

Phone

(732) 738-8801

NPI assigned

Oct 5, 2010

Organization subpart

Yes

Parent organization

DERRICK M. DESILVA, JR. MDAs reported in NPPES

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

Authorized official

Name

Derrick M. Desilva Jr., M.D.NPI 1467541755

Title

Medical Director

Phone

(732) 738-8801

Specialties & licenses 1

Addresses

Tax ID family

Derrick M Desilva Jr MD2 organizations share this tax ID, including this one

Part of

Derrick M Desilva Jr MD

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Derrick M. Desilva, Jr. MD

  • Non-Pharmacy Dispensing Site
  • Edison, NJ
  • NPI 1083923585
  NPD tax ID

Practitioners 1

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

• Derrick M Desilva Jr., MD

  • Internal Medicine Physician
  • Edison, NJ
  • NPI 1467541755
  NPD (past) Authorized official

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

{
    "created_epoch": "1286236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298937600000",
    "number": "1598074759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 AMBOY AVE",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088373579",
            "telephone_number": "732-738-8801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 AMBOY AVE",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088373579",
            "telephone_number": "732-738-8801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERRICK M. DESILVA, JR. MD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DERRICK M. DESILVA, JR. MD",
        "enumeration_date": "2010-10-05",
        "last_updated": "2011-03-01",
        "status": "A",
        "authorized_official_last_name": "DESILVA",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "732-738-8801",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dependable Home Care Inc
• Nicole G Derisi
• Dino Corrado Derobertis, D.C.
• Derrick M Desilva Jr. M.D. LLC
• Derrick M. Desilva, Jr. MD
• Aaditya Desai, DO
• Aaron Afraim Desai, MD
• Ami Desai, PHARMD
• Bankimchandra D Desai, MD
• Khyati Desai

• Non-Pharmacy Dispensing Site in Edison, NJ
• Providers in Edison, NJ by specialty
• Non-Pharmacy Dispensing Site in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.