Bankimchandra D Desai, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA04452000 Issued in NJ

Practice address

3815 Park Ave
Edison, NJ 08820-2503

Phone

(732) 548-3933

NPI assigned

Jul 11, 2006

Last updated

Jul 7, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Other, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Garden State Healthcare Associates LLCGroup PAC ID 8426190687, 171 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Carepoint Health - Bayonne Medical Center Hospital, Bayonne, NJ, CCN 310025

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bankimchandra.desai@direct.bayonnemedicalcenter.md

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Garden State Healthcare Associates, LLC

  • Emergency Medicine Physician
  • Bayonne, NJ
  • NPI 1700014545
  Medicare reassignment Care Compare group NPD
• Ijkg Opco LLC

  dba Bayonne University Hospital

  • Skilled Nursing Facility
  • Bayonne, NJ
  • NPI 1437356755
  NPD
• Hera Inpatient Services

  • Internal Medicine Physician
  • Somers Point, NJ
  • NPI 1760511240
  NPD (past)
• Clinical Staffing Solutions P.C.

  • Internal Medicine Physician
  • Newtown Square, PA
  • NPI 1487684114
  NPD (past)
• Executive Health Resources Clinical Staffing Solutions PC

  • Internal Medicine Physician
  • Newtown Square, PA
  • NPI 1225067424
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ijkg Opco LLC

  dba Bayonne Medical Center

  • General Acute Care Hospital
  • Bayonne, NJ
  • NPI 1821101239
  Care Compare affiliation

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278460800000",
    "number": "1780618868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3815 PARK AVE",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088202503",
            "telephone_number": "732-548-3933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3815 PARK AVE",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088202503",
            "telephone_number": "732-548-3933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAI",
        "first_name": "BANKIMCHANDRA",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2010-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA04452000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017469",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00650711",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHP NON PAR #",
            "identifier": "38319",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Derrick M. Desilva, Jr. MD
• Derrick M. Desilva, Jr. MD
• Aaditya Desai, DO
• Aaron Afraim Desai, MD
• Ami Desai, PHARMD
• Khyati Desai
• Sagar R. Desai, M.D.
• Shivani Desai
• Ushma Desai
• Derrick M Desilva Jr., MD

• Internal Medicine Physician in Edison, NJ
• Providers in Edison, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2010; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.