Gautam Desai MD PA

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

Legal business name

GAUTAM DESAI MD PA

Practice address

447 Route 10
Suite2
Randolph, NJ 07869-2132

Phone

(973) 361-4555

NPI assigned

Jul 2, 2010

Last updated

Jul 2, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gautam T Desai, MDNPI 1639116742

Title

President

Phone

(973) 361-4555

Specialties & licenses 3

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gautam T Desai, MD

  • Pulmonary Disease Physician
  • Randolph, NJ
  • NPI 1639116742
  Authorized official Same address or phone
• Maya Desai, M.D.

  • Child & Adolescent Psychiatry Physician
  • Randolph, NJ
  • NPI 1508891342
  NPD (past)

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

{
    "created_epoch": "1278028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278028800000",
    "number": "1902118276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "447 ROUTE 10",
            "address_2": "SUITE2",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078692132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "447 ROUTE 10",
            "address_2": "SUITE2",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078692132",
            "telephone_number": "973-361-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAUTAM DESAI MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-02",
        "last_updated": "2010-07-02",
        "status": "A",
        "authorized_official_last_name": "DESAI",
        "authorized_official_first_name": "GAUTAM",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-361-4555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Fusco, D.M.D.
• Gary S Brennan LPC Cadc NCC Psychological and Addiction Services LLC
• Gary S. Safier DO, PC
• Kenneth Wesley Gates, PSY.D.
• Sergio C Gatoulis, PHARMD
• GD NJ Randolph LLC (Smith Family Dentistry)
• Heidi Gebhard
• Beth P Gelman, M.D.
• Scott Franklin Gelman, M.D.
• Erica Cristina Geraci, PSYCHOLOGIST

• Pulmonary Disease Physician in Randolph, NJ
• Providers in Randolph, NJ by specialty
• Pulmonary Disease Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.