Desai Associates

Organization Active NPI Internal Medicine Physician · Winthrop, MA

NPI 1700958402 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1700958402
Entity type
Organization (NPI type 2)
Primary specialty
Internal Medicine Physician 207R00000X
Legal business name
DESAI ASSOCIATES
Practice address
249 Washington Ave
Winthrop, MA 02152-1347
Phone
(617) 846-1318
Fax
(617) 846-9346
NPI assigned
Nov 15, 2006
Organization subpart
No

Authorized official

Name
Usha Desai, MD NPI 1225078751
Title
MD
Phone
(617) 846-1318

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

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

National Provider Directory

Locations

1715 Broadway
Saugus, MA 01906
Phone (781) 233-2931

249 Washington Ave
Winthrop, MA 02152
Phone (617) 846-1318

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207R00000X MA Yes

Addresses

Primary practice location

249 Washington Ave
Winthrop, MA 02152-1347

Mailing address

249 Washington Ave
Winthrop, MA 02152-1347
Phone (617) 846-1318

Other identifiers

IdentifierTypeStateIssuer
9787445MedicaidMA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700958402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 WASHINGTON AVE",
            "city": "WINTHROP",
            "state": "MA",
            "postal_code": "021521347",
            "telephone_number": "617-846-1318",
            "fax_number": "617-846-9346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 WASHINGTON AVE",
            "city": "WINTHROP",
            "state": "MA",
            "postal_code": "021521347",
            "telephone_number": "617-846-1318",
            "fax_number": "617-846-9346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESAI ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DESAI",
        "authorized_official_first_name": "USHA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "617-846-1318",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9787445",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winthrop, MA

All providers in Winthrop, MA · Internal Medicine Physician in Massachusetts

Sources for this page

Verify at the official NPI Registry.