Individual provider Active NPI

Darshika Desai

  • Nurse Practitioner
  • Waldwick, NJ
National Provider Identifier
1841883758
Registry record updated Feb 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ01099300 Issued in NJ
Practice address
41 W Prospect St Unit 324
Waldwick, NJ 07463-1654
Phone
(862) 222-0788
NPI assigned
Feb 11, 2021
Last updated
Feb 11, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ01099300 NJ Primary

Addresses

Primary practice location

41 W Prospect St Unit 324
Waldwick, NJ 07463-1654

Mailing address

41 W Prospect St Unit 324
Waldwick, NJ 07463-1654
Phone (862) 222-0788

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210408002454 NJ Practitioner - Nurse Practitioner 4082022199 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bridgecare Provider Group LLCGroup PAC ID 8123498193, 7 clinicians

Practice addresses (Care Compare)

493 Black Oak Ridge Rd
Wayne, NJ 07470-6501
Phone (973) 692-9500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bridgecare Provider Group LLC CurrentSince Jun 17, 2024 Accepting new patients
Rehab Medicine CurrentSince Mar 1, 2021 Accepting new patients
Careconnectmd New Jersey PC CurrentSince Jan 1, 2025 Accepting new patients

Locations

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

173 Bridge Plz N
Fort Lee, NJ 07024
Phone (201) 242-4000

101 Eisenhower Pkwy
Ste 300
Roseland, NJ 07068
Phone (201) 520-7221

510 Hamburg Tpke
Ste 107
Wayne, NJ 07470
Phone (973) 559-3760

Interoperability endpoints

  • Direct secure messaging: darshika.desai.1@26976.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1613001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613001600000",
    "number": "1841883758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 W PROSPECT ST UNIT 324",
            "city": "WALDWICK",
            "state": "NJ",
            "postal_code": "074631654",
            "telephone_number": "862-222-0788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 W PROSPECT ST UNIT 324",
            "city": "WALDWICK",
            "state": "NJ",
            "postal_code": "074631654",
            "telephone_number": "862-222-0788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAI",
        "first_name": "DARSHIKA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-11",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ01099300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldwick, NJ

Sources for this page

Verify at the official NPI Registry.