Individual provider Active NPI

Desai A Gunvanlal, M.D.

  • Anesthesiology Physician
  • Somerset, NJ
National Provider Identifier
1730137308
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MA39688 Issued in NJ
Practice address
285 Davidson Ave
Acnj - Third Floor
Somerset, NJ 08873-4153
Phone
(732) 271-1400
Fax
(732) 271-3543
NPI assigned
May 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MA39688 NJ Primary

Addresses

Primary practice location

285 Davidson Ave
Acnj - Third Floor
Somerset, NJ 08873-4153

Mailing address

285 Davidson Ave
Suite 301
Somerset, NJ 08873-4153
Phone (732) 271-1400

Other identifiers 1

IdentifierTypeStateIssuer
2067102MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110407000721 NJ Practitioner - Anesthesiology 8527242056

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA39688NJMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New Jersey Anesthesia Professionals LLC Anesthesiology CurrentSince Jun 20, 2018 Accepting new patients
Nova Pain Management Centers LLC Past Accepting new patients

Locations

111 Town Square Pl
Ste 420
Jersey City, NJ 07310
Phone (201) 258-4700

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1730137308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 DAVIDSON AVE",
            "address_2": "SUITE 301",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088734153",
            "telephone_number": "732-271-1400",
            "fax_number": "732-271-3543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 DAVIDSON AVE",
            "address_2": "ACNJ - THIRD FLOOR",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088734153",
            "telephone_number": "732-271-1400",
            "fax_number": "732-271-3543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNVANLAL",
        "first_name": "DESAI",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "MA39688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2067102",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, NJ

Sources for this page

Verify at the official NPI Registry.