Nishu Desai, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

25MD00384600 Issued in NJ

Practice address

111 Central Ave Dept Floord7
Newark, NJ 07102-1909

Phone

(973) 877-5465

NPI assigned

Jun 23, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA, NJ2 enrollments

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 2

Specialty

Podiatry

Education

Temple University School of Podiatric Medicine, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Larchmont Podiatry PLLCGroup PAC ID 5890083984, 4 clinicians

Jackson Center for Foot and Ankle Medicine,LLC.Group PAC ID 7113004433, 4 clinicians

Podiatry Company LLCGroup PAC ID 5890103097, 20 clinicians

Eastern Podiatry PLLCGroup PAC ID 1951448711, 8 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Eastern Podiatry PLLC

  • Podiatrist
  • Somerset, NJ
  • NPI 1235433327
  Medicare reassignment Care Compare group NPD
• Jackson Center for Foot and Ankle Medicine,LLC

  • Foot & Ankle Surgery Podiatrist
  • Jackson, NJ
  • NPI 1609047372
  Medicare reassignment Care Compare group NPD
• Larchmont Podiatry PLLC

  • Podiatric Clinic/Center
  • Larchmont, NY
  • NPI 1891241725

  Foot & Ankle Surgery, NJ, PA

  Medicare reassignment Care Compare group NPD
• Podiatry Company LLC

  • Podiatrist
  • Cambridge, MD
  • NPI 1457931610

  NJ, PA

  Medicare reassignment Care Compare group NPD
• Back Office Management Services LLC

  • Podiatrist
  • Pittsburgh, PA
  • NPI 1649506684
  Medicare reassignment NPD
• The Jackson Center for Foot and Ankle Medicine

  • Customized Equipment (DME)
  • Brick, NJ
  • NPI 1366976698
  NPD
• Back Office Management Services LLC

  • Podiatrist
  • Berea, KY
  • NPI 1336652585
  NPD
• Eastern Podiatry PLLC

  • Podiatrist
  • Lynnwood, WA
  • NPI 1104692219
  NPD
• Eastern Podiatry PLLC

  • Podiatrist
  • Lynchburg, VA
  • NPI 1598421422
  NPD (past)
• South Westchester Vein & Vascular PLLC

  • Vascular & Interventional Radiology Physician
  • Bronx, NY
  • NPI 1548940273
  NPD (past)

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

{
    "created_epoch": "1624406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1982273983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 CENTRAL AVE DEPT FLOOR7",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071021909",
            "telephone_number": "973-877-5465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 CENTRAL AVE DEPT FLOORD7",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071021909",
            "telephone_number": "973-877-5465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAI",
        "first_name": "NISHU",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-23",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00384600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ariane Monique Chua Dequina, MSN, RN, NP-C, CMSRN
• Mariette Dermendjian, M.D.
• Jagrut Desai
• Karishma Desai, MD
• Nirav Desai, PHARMD
• Pooja Desai
• Rina Desai, PT, MPT
• Rondalya Denise Deshields, RN
• Cassandra Desire, LAC
• Franklin Desposito, M.D.

• Foot & Ankle Surgery Podiatrist in Newark, NJ
• Providers in Newark, NJ by specialty
• Foot & Ankle Surgery Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; 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.