DR. FORAM RAJENDRA DESAI (NPI# 1174722011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174722011 |
| Entity Type | Individual |
| Full Name | DR. FORAM RAJENDRA DESAI |
| Credential | M.D. |
| Practice Address |
375 S. Washington Avenue Bergenfield NJ 07621 |
| Mailing Address |
718 Teaneck Road Teaneck NJ 07666-4245 |
| Practice Telephone | 2013840036 |
| Practice Fax Number | 2013847304 |
| Mailing Telephone | 2018337265 |
| Mailing Fax Number | 2012276207 |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2012-03-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 25MA08897400 | NJ | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619453693 | Foram Vinaykumar Desai | Physical Therapist | 9436 Desert Willow Way, Highlands Ranch, CO 80129-5744 | 2018-07-12 |
| 1154834919 | Foram Desai | Occupational Therapist | 499 Blossom Hill Rd, San Jose, CA 95123-3302 | 2017-11-14 |
| 1235490921 | Foram Desai | Physical Therapist | 300 E Winchester Ave, Langhorne, PA 19047-2250 | 2012-05-30 |
| Street Address |
375 S. WASHINGTON AVENUE |
| City | BERGENFIELD |
| State | NJ |
| Zip Code | 07621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669952115 | Sublime Therapy | Massage Therapist | 80 N Washington Ave, Unite L4, Bergenfield, NJ 07621 | 2018-08-15 |
| 1619487824 | Perseverance A Okai Adjetey | Registered Nurse | 23 Lake Street, Bergenfield, NJ 07621 | 2017-10-03 |
| 1285144469 | Stacie Lynn Morvay | Nurse Practitioner | 129 Liberty Rd Apt B, Bergenfield, NJ 07621 | 2017-10-02 |
| 1295254308 | Keren Nussbaum | Speech-Language Pathologist | 60 Glenwood Drive S, Bergenfield, NJ 07621 | 2017-09-11 |
| 1538608450 | Lcn Medical Group | Internal Medicine | 136 N. Washington Ave. Suite 201, Bergenfield, NJ 07621 | 2017-02-13 |
| 1154782969 | Martine Meleance | Counselor | 386 West Main St, Berganfield, NJ 07621 | 2016-03-08 |
| 1609257591 | Maria C. Stone, Lcsw, LLC | Social Worker | 29 Legion Drive, Bergenfield, NJ 07621 | 2015-06-16 |
| 1003219536 | Ismile Dental Associates | Dentist | 22 N Washington Ave., Bergenfield, NJ 07621 | 2014-09-29 |
| 1710399415 | Maria Rena Penecilla | Registered Nurse | 74 Madison Ave, Bergenfield, NJ 07621 | 2014-05-29 |
| 1619394954 | Russell L Sadang | Physical Therapist | 103 Carnation St, Bergenfield, NJ 07621 | 2014-03-25 |
| Find all providers in zip 07621 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538608450 | Lcn Medical Group | Internal Medicine | 136 N. Washington Ave. Suite 201, Bergenfield, NJ 07621 | 2017-02-13 |
| 1457539850 | Payam Benson | Internal Medicine | 81 Maiden Ln, Bergenfield, NJ 07621 | 2008-02-07 |
| 1417048521 | Luis Negron | Internal Medicine | 136 N Washington Ave Ste 201, Bergenfield, NJ 07621-1776 | 2006-09-27 |
| 1821108937 | Susan Zeveloff | Internal Medicine | 136 North Washington Ave., Suite 102, Bergenfield, NJ 07621-1738 | 2006-08-30 |
| 1598713786 | Michael August Degennaro | Internal Medicine | 161a N Washington Ave, Bergenfield, NJ 07621-1739 | 2006-05-04 |
| 1518920461 | Paul Michael Diamond | Internal Medicine | 205 N Washington Ave, Bergenfield, NJ 07621-1359 | 2006-04-11 |
| 1700857463 | Josef M Weisgras | Internal Medicine | 375 S Washington Ave, Bergenfield, NJ 07621 | 2006-01-31 |
| 1679066518 | The Nobel Clinic | Internal Medicine | 136 N Washington Ave Ste 201, Bergenfield, NJ 07621-1776 | 2018-06-14 |
| 1932499191 | Josef M. Weisgras Md Pa | Internal Medicine | 375 S Washington Ave, Bergenfield, NJ 07621-4323 | 2011-04-08 |
| 1780914267 | Lmg Medical Group, LLC | Internal Medicine | 136 N Washington Ave, Bergenfield, NJ 07621-1776 | 2010-01-06 |
| Find all providers in BERGENFIELD | ||||
| City | BERGENFIELD |
| Zip Code | 07621 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.