Jay Suresh Desai, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

VUT006075-1 Issued in NY

Practice address

20 Milltown Rd
Brewster, NY 10509-4344

Phone

(845) 279-6179

Fax

(845) 279-3619

NPI assigned

Oct 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Optum Medical Care PCGroup PAC ID 9931013240, 1,013 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Optum Medical Care, P.C.

  • Cardiovascular Disease Physician
  • Mount Kisco, NY
  • NPI 1982643003
  Medicare reassignment Care Compare group NPD
• G & B Optical Corp

  • Ophthalmic Technician/Technologist
  • Brewster, NY
  • NPI 1134275464
  Medicare reassignment NPD
• Port Chester Eyecare Inc

  • Optometrist
  • Port Chester, NY
  • NPI 1912166885
  Medicare reassignment NPD
• Optum Medical Care, P.C.

  • Durable Medical Equipment & Medical Supplies
  • New Hyde Park, NY
  • NPI 1053190595
  NPD
• Mount Kisco Medical Group

  • Hematology (Internal Medicine) Physician
  • Fishkill, NY
  • NPI 1952356362
  NPD (past)
• Cary Opticians, Inc

  • Optometrist
  • Cary, IL
  • NPI 1407053432
  NPD (past)

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821172693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 MILLTOWN RD",
            "city": "BREWSTER",
            "state": "NY",
            "postal_code": "105094344",
            "telephone_number": "845-279-6179",
            "fax_number": "845-279-3619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 MILLTOWN RD",
            "city": "BREWSTER",
            "state": "NY",
            "postal_code": "105094344",
            "telephone_number": "845-279-6179",
            "fax_number": "845-279-3619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAI",
        "first_name": "JAY",
        "middle_name": "SURESH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "VUT006075-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evelyn Mocoy Dela Cruz, LPN
• Tatiana Demartino, DC
• Jacqueline Demayo, D.C
• Melanie Michelle Dennis
• Julia Christina Depinto
• Coryn Desantis
• Leeanne Di Russo, FNP
• Diabetes Corner Store
• Althea Marie Fernandez Diaz, MD
• Daniela Cristina Diaz, MD

• Optometrist in Brewster, NY
• Providers in Brewster, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.