Abhishek Desai

Primary specialty

DentistTaxonomy code 122300000X

License

22DI02715200 Issued in NJ

Practice address

108 W Collings Ave
Collingswood, NJ 08108-3015

Phone

(856) 858-0294

NPI assigned

Jun 6, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective May 2, 2019 through May 2, 2027

Medicare enrollment (NPD)

Not enrolled

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.

• Abhishek Desai DDS LLC

  • General Practice Dentistry
  • Langhorne, PA
  • NPI 1154034510
  NPD Authorized official
• Charles Wahl, DMD and Associates

  • General Practice Dentistry
  • Collingswood, NJ
  • NPI 1043774920
  NPD (past)

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

{
    "created_epoch": "1528243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673136000000",
    "number": "1669964573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 KEEGAN CT",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080535619",
            "telephone_number": "501-442-3411",
            "fax_number": "501-442-3411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 W COLLINGS AVE",
            "city": "COLLINGSWOOD",
            "state": "NJ",
            "postal_code": "081083015",
            "telephone_number": "856-858-0294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAI",
        "first_name": "ABHISHEK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-06",
        "last_updated": "2023-01-08",
        "certification_date": "2023-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02715200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Comapssionate Podiatry
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• Rachel Danielewicz
• Joseph J Degenhart, LMFT
• Arzu Serra Dickinson, RPH
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• Michael Vincent Diorio, D.M.D
• Mary Dipalma
• April Doe, PTA

• Dentist in Collingswood, NJ
• Providers in Collingswood, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.