Active NPI
Nainesh A Desai, DDS
- Prosthodontics
- East Brunswick, NJ
National Provider Identifier
1962509588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 053230
- Practice address
- C2 Cornwall Dr
East Brunswick, NJ 08816-3352 - Phone
- (732) 254-2550
- NPI assigned
- Sep 17, 2006
- Last updated
- May 23, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2901019029 | MI | |
| Prosthodontics | 1223P0700X | 053230 | NY | Primary |
| Prosthodontics | 1223P0700X | 22DI02334300 | NJ |
Addresses
Primary practice location
C2 Cornwall Dr
East Brunswick, NJ 08816-3352
Mailing address
115 Copperfield LN
Metuchen, NJ 08840-1234
Phone (732) 983-3953
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2901019029 | MI | MD | General Practice Dentistry |
| 22DI02334300 | NJ | MD | Prosthodontist |
| 053230 | NY | MD | Prosthodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CNJP East Windsor PC | Current | Accepting new patients | |
| Central New Jersey Prosthodontics LLC | Prosthodontics | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Central NJ Prosthodontics
- Dental Clinic/Center
- East Windsor, NJ
- NPI 1164283073
-
- Prosthodontics
- Metuchen, NJ
- NPI 1740432137
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274572800000",
"number": "1962509588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 COPPERFIELD LN",
"city": "METUCHEN",
"state": "NJ",
"postal_code": "088401234",
"telephone_number": "732-983-3953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "C2 CORNWALL DR",
"city": "EAST BRUNSWICK",
"state": "NJ",
"postal_code": "088163352",
"telephone_number": "732-254-2550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESAI",
"first_name": "NAINESH",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-17",
"last_updated": "2010-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MI",
"license": "2901019029",
"primary": false
},
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "NY",
"license": "053230",
"primary": true
},
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "NJ",
"license": "22DI02334300",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Brunswick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.