Brena Manish Desai, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

225205 Issued in NY

Practice address

15715 46TH Ave
Flushing, NY 11355-2353

Phone

(718) 445-3029

Fax

(718) 445-2889

NPI assigned

May 17, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Brena Bharatkumar Shah Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H5989

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EDAHAA/Endpoint/EDAHAA

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.

• Brena M Desai Pediatrician PC

  • Pediatrics Physician
  • Flushing, NY
  • NPI 1508722125
  NPD Authorized official
• Flushing Hospital & Medical Center

  • General Acute Care Hospital
  • Flushing, NY
  • NPI 1154461622
  NPD (past)
• Flushing Hospital & Medical Center

  • General Acute Care Hospital
  • Flushing, NY
  • NPI 1548217763
  NPD (past)

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550102400000",
    "number": "1619929502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15715 46TH AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113552353",
            "telephone_number": "718-445-3029",
            "fax_number": "718-445-2889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15715 46TH AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113552353",
            "telephone_number": "718-445-3029",
            "fax_number": "718-445-2889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAI",
        "first_name": "BRENA",
        "middle_name": "MANISH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2019-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "225205",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "225205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02286208",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRENA",
            "last_name": "SHAH",
            "middle_name": "BHARATKUMAR",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Eli Derdik, PA
• Ermias Deress
• Dermatology and Patch Testing-Queens
• Alicia Derobertis, M.D
• John P Derosa, M.D.
• Esha Haresh Desai
• Gopi Desai, MD
• Poonam Desai, D.O.
• Shivangi Nimish Desai
• Pamela Ann Desario, MA, OTR/L

• Pediatrics Physician in Flushing, NY
• Providers in Flushing, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2019; 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.