Carl Desiderio, DO

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

25MB03344700 Issued in NJ

Practice address

555 W 23Rd St
Apt N 10 P
New York, NY 10011-1011

Phone

(212) 731-2187

NPI assigned

Jun 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Doctor'S Office of West Caldwell LLC

  • Urgent Care Clinic/Center
  • West Caldwell, NJ
  • NPI 1144524786

  Emergency Medicine

  NPD
• Doctors Office of New Jersey, LLC

  • Urgent Care Clinic/Center
  • Midland Park, NJ
  • NPI 1508264177
  NPD
• Excel Urgent Care of Paramus LLC

  • Internal Medicine Physician
  • Paramus, NJ
  • NPI 1063652220
  NPD
• Adirondack Emergency Medicine, PC

  • Emergency Medicine Physician
  • Ellenville, NY
  • NPI 1174572978
  NPD (past)
• Bedford Stuy Emergency Physicians

  • Emergency Medicine Physician
  • Brooklyn, NY
  • NPI 1851614515
  NPD (past)
• Chemung Medical Services PC

  • Internal Medicine Physician
  • Elmira, NY
  • NPI 1356378889

  Emergency Medicine

  NPD (past)
• Fort Edward Rescue Squad Inc

  • Ambulance
  • Fort Edward, NY
  • NPI 1427031319
  NPD (past)
• New York Em-I Medical Services PC

  • Emergency Medicine Physician
  • Cortland, NY
  • NPI 1255457917
  NPD (past)
• New York Em-I Medical Services PC

  • Emergency Medicine Physician
  • Oneonta, NY
  • NPI 1316485600
  NPD (past)
• New York Em-I Medical Services PC

  • Emergency Medicine Physician
  • Ithaca, NY
  • NPI 1629182100
  NPD (past)
• Utica Emergency Physicians, PC

  • Emergency Medicine Physician
  • New Hartford, NY
  • NPI 1447323019
  NPD (past)
• Anthracite Emergency Physicians

  • Emergency Medicine Physician
  • Pottsville, PA
  • NPI 1023069226
  NPD (past)

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519603200000",
    "number": "1992748495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 W 23RD ST",
            "address_2": "APT N 10 P",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100111011",
            "telephone_number": "212-731-2187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 W 23RD ST",
            "address_2": "APT N 10 P",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100111011",
            "telephone_number": "212-731-2187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESIDERIO",
        "first_name": "CARL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2018-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB03344700",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MB03344700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1949306",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ajit Rajendra Deshpande, MD
• Deepti R Deshpande, M.D.
• Prakash D Deshpande, RPH
• Priya Prakash Deshpande, M.D.
• Barbara Desiderio, LSW
• Dawn P Desiderio, MD
• Joseph Anthony Desiderio, LCSW
• Antoine Desilets, MD
• Priyani M Desilva, MD
• Ravi Bartholomew Desilva, M.D., M.A.

• Emergency Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Emergency Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.