Amita Desai, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

25MA06578700 Issued in NJ

Practice address

718 Teaneck Rd
Holy Name Hospital
Teaneck, NJ 07666-4245

Phone

(201) 833-3000

NPI assigned

Aug 9, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Birch Tree Medical Associates PA

  • Specialist
  • Teaneck, NJ
  • NPI 1427155977
  NPD (past)

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281052800000",
    "number": "1780685362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 STEWART ST",
            "city": "DEMAREST",
            "state": "NJ",
            "postal_code": "076272002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 TEANECK RD",
            "address_2": "HOLY NAME HOSPITAL",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664245",
            "telephone_number": "201-833-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAI",
        "first_name": "AMITA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-09",
        "last_updated": "2010-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA06578700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "037470",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Debra L. Davis, PHD Limited Liability Company
• Anne Lynn Decaro
• Alexis Paige Dellaquila
• Michael Denker, M.D.
• Sudhir Deodhar, CNIM
• Saloni Desai, PA-C
• Shalin P. Desai, M.D.
• Neelangani Therese Desoyza, MD
• Jessica Deuble, OTR
• Paul Deutsch, MD

• Specialist in Teaneck, NJ
• Providers in Teaneck, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2010; 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.