Individual provider Active NPI

Robert A Desimone, M.D.

  • Anesthesiology Physician
  • Florham Park, NJ
National Provider Identifier
1932102589
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
25MA05633700 Issued in NJ
Practice address
254 Columbia Tpke
Florham Park, NJ 07932-1222
Phone
(973) 625-6000
NPI assigned
May 27, 2005
Last updated
Mar 18, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 25MA05633700 NJ Primary
Anesthesiology Physician 207L00000X ME113643 FL

Addresses

Primary practice location

254 Columbia Tpke
Florham Park, NJ 07932-1222

Mailing address

PO Box 508
Montville, NJ 07045-0508
Phone (973) 886-2195

Other practice location 1

24860 Burnt Pine Dr Ste 1&2
Bonita Springs, FL 34134-1909
Phone (973) 886-2195

Other identifiers 1

IdentifierTypeStateIssuer
6503501MedicaidNJ

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050321000058 NJ Practitioner - Anesthesiology 6305891698 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME113643FLMDAnesthesiology Physician
25MA05633700NJMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Morris Anesthesia Group, PA Anesthesiology CurrentSince Dec 10, 1996 Accepting new patients
Allied Digestive Health, LLC Anesthesiology CurrentSince Dec 20, 2024 Accepting new patients
Shrewsbury Ambulatory Anesthesia LLC Anesthesiology CurrentSince Dec 15, 2025 Accepting new patients
Robert Desimone Functional Medicine, Inc CurrentSince Mar 20, 2025 Accepting new patients
Morris Anesthesia Group, PA CurrentSince Dec 10, 1996 Accepting new patients
Union Anesthesia Associates, PA Anesthesiology CurrentSince Jan 1, 2020 Accepting new patients
Ambulatory Pain Management Physicians, LLC Past Accepting new patients
Coastal Surgery Center, LLC Past Accepting new patients
Atlantic Coast Gastroenterology Associates Past Accepting new patients
Rutherford Anesthesia Associates, LLC Anesthesiology Past Accepting new patients

Locations

24860 Burnt Pine Dr
Ste 12
Bonita Springs, FL 34134
Phone (973) 886-2195

495 Jack Martin Blvd
Ste 1
Brick, NJ 08724
Phone (732) 836-9800

25 Pocono Rd
Denville, NJ 07834
Phone (273) 625-6000

810 Ryders Ln
East Brunswick, NJ 08816
Phone (732) 222-3805

254 Columbia Tpke
Florham Park, NJ 07932
Phone (973) 301-0500

195 US Highway 9
Ste 210
Manalapan, NJ 07726
Phone (732) 358-6500

3700 State Route 33
Ste LL01
Neptune, NJ 07753

42 Throckmorton Ln
Old Bridge, NJ 08857
Phone (732) 607-1111

75 Orient Way
Rutherford, NJ 07070
Phone (201) 661-7450

655 Shrewsbury Ave
Shrewsbury, NJ 07702
Phone (732) 450-6000

33 Clyde Rd
Ste 102
Somerset, NJ 08873
Phone (732) 873-9200

1 Plaza Dr
Unit 2
Toms River, NJ 08757
Phone (732) 691-4898

695 Chestnut St
Union, NJ 07083
Phone (908) 688-6565

1640 Route 88 W
Ste 202
Wall Township, NJ 08724
Phone (732) 370-2220

Organizations & group practices 10

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": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1932102589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 508",
            "city": "MONTVILLE",
            "state": "NJ",
            "postal_code": "070450508",
            "telephone_number": "973-886-2195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 COLUMBIA TPKE",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321222",
            "telephone_number": "973-625-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24860 Burnt Pine Dr Ste 1&2",
            "address_purpose": "LOCATION",
            "city": "Bonita Springs",
            "state": "FL",
            "postal_code": "341341909",
            "country_code": "US",
            "telephone_number": "973-886-2195",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESIMONE",
        "first_name": "ROBERT",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA05633700",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME113643",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6503501",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florham Park, NJ

Sources for this page

Verify at the official NPI Registry.