Active NPI
Kinjal Desai, MD
- Pediatric Critical Care Medicine Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Critical Care Medicine Physician
- License
- 301176-01
- Practice address
- 525 E 68TH St # M-508
New York, NY 10065-4870 - Phone
- (212) 746-0308
- NPI assigned
- Apr 20, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Cardiology Physician | 2080P0202X | 301176-01 | NY | |
| Pediatric Critical Care Medicine Physician | 2080P0203X | 301176-01 | NY | Primary |
Addresses
Primary practice location
525 E 68TH St # M-508
New York, NY 10065-4870
Mailing address
525 E 68TH St # M-508
New York, NY 10065-4870
Phone (212) 746-0308
Other practice location 1
3959 Broadway
New York, NY 10032-1559
Phone (212) 305-5437
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 301176-01 | NY | MD | Pediatric Critical Care Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Pediatric Group | Current | Accepting new patients | |
| Weill Medical College of Cornell | Pediatric Cardiology | Current | Accepting new patients |
| Trustees of Columbia University in the City of New York | Current | Accepting new patients | |
| Trustees of Columbia University in the City of New York | Current | Accepting new patients | |
| Weill Medical College of Cornell | Current | Accepting new patients | |
| Trustees of Columbia University in the City of New York | Current | Accepting new patients | |
| The New York and Presbyterian Hospital | Past | Accepting new patients |
Locations
525 E 68th St
#M508
New York, NY 10065
Phone (212) 746-0308
622 W 168th St
New York, NY 10032
Phone (212) 305-4931
161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559
622 W 168th St
Ph 3303
New York, NY 10032
Phone (212) 305-2654
525 E 68th St
New York, NY 10065
Phone (212) 746-2846
633 3rd Ave
Fl 4
New York, NY 10017
Phone (646) 227-3764
1275 York Ave
New York, NY 10065
Phone (212) 639-3813
3959 Broadway
New York, NY 10032
Phone (212) 304-7297
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
Interoperability endpoints
- kid9039@direct.nyp.org
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Organizations & group practices 8
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.
-
- Pediatrics Physician
- New York, NY
- NPI 1750352381
-
- Surgery Physician
- New York, NY
- NPI 1508266347
-
- Internal Medicine Physician
- New York, NY
- NPI 1124170212
-
- Anesthesiology Physician
- New York, NY
- NPI 1477068971
-
- Internal Medicine Physician
- New York, NY
- NPI 1699289488
-
- Cardiovascular Disease Physician
- New York, NY
- NPI 1144729385
-
dba CUMC Pediatrics
- Pediatrics Physician
- New York, NY
- NPI 1629018205
Pediatric Cardiology
-
dba New York-Presbyterian Hospital
- General Acute Care Hospital
- New York, NY
- NPI 1952332801
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738454400000",
"number": "1801240429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 E 68TH ST # M-508",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100654870",
"telephone_number": "212-746-0308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 E 68TH ST # M-508",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100654870",
"telephone_number": "212-746-0308"
}
],
"practiceLocations": [
{
"address_1": "3959 Broadway",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100321559",
"country_code": "US",
"telephone_number": "212-305-5437",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DESAI",
"first_name": "KINJAL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-20",
"last_updated": "2025-02-02",
"certification_date": "2025-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "NY",
"license": "301176-01",
"primary": false
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "NY",
"license": "301176-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.