DERRICK M DESILVA JR. M.D. LLC (NPI# 1295192706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295192706 |
| Entity Type | Organization |
| Organization Name | DERRICK M DESILVA JR. M.D. LLC |
| Practice Address |
629 Amboy Ave 2nd Floor Edison NJ 08837-3579 |
| Practice Telephone | 7327388801 |
| Practice Fax Number | 7327388802 |
| Mailing Telephone | 7327388801 |
| Mailing Fax Number | 7327388802 |
| Enumeration Date | 2016-01-28 |
| Last Update Date | 2016-01-28 |
| Authorized Official Name | DERRICK M DESILVA JR. (OWNER) |
| Authorized Official Telephone | 7327388801 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 25MA05140000 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
629 AMBOY AVE 2ND FLOOR |
| City | EDISON |
| State | NJ |
| Zip Code | 08837-3579 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801895453 | Stephen Neil Resnick | Dentist | 629 Amboy Ave, Edison, NJ 08837-3579 | 2005-07-17 |
| 1295249571 | Ruchita Patel | Physical Therapist | 629 Amboy Ave, Edison, NJ 08837-3579 | 2017-11-25 |
| 1033623426 | Kulwant Kaur | Physical Therapist | 629 Amboy Ave, Edison, NJ 08837-3579 | 2017-11-22 |
| 1649619644 | Crown Family Medical Care | Family Medicine | 629 Amboy Ave, Suite 109, Edison, NJ 08837-3579 | 2013-06-24 |
| 1699110544 | Alliance for Disabled In Action, Inc. | Case Management | 629 Amboy Ave, Edison, NJ 08837-3579 | 2013-05-06 |
| 1679825871 | Comprehensive Geriatrics Inc | Family Medicine | 629 Amboy Ave, 3rd Floor, Edison, NJ 08837-3579 | 2012-10-11 |
| 1598074759 | Derrick M. Desilva, Jr. Md | Non-Pharmacy Dispensing Site | 629 Amboy Ave, Edison, NJ 08837-3579 | 2010-10-05 |
| 1083923585 | Derrick M. Desilva, Jr. Md | Non-Pharmacy Dispensing Site | 629 Amboy Ave, Edison, NJ 08837-3579 | 2010-09-30 |
| 1528226842 | Adedayo Olubunmi Aderibigbe | Family Medicine | 629 Amboy Ave, Ste 109, Edison, NJ 08837-3579 | 2008-05-23 |
| 1467541755 | Derrick M Desilva Jr. | Internal Medicine | 629 Amboy Ave, Edison, NJ 08837-3579 | 2006-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730787938 | Bonhamtown Pharmacy LLC | Pharmacy | 2853 Woodbridge Ave, Suite 8, Edison, NJ 08837 | 2020-10-12 |
| 1134783640 | Prathyusha Bala Lanka | Physical Therapist | 132 Evergreen Road, Edison, NJ 08837 | 2019-04-30 |
| 1801363049 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 2500 Menlo Park Mall, Edison, NJ 08837 | 2018-10-25 |
| 1548796980 | Christina Iacuzio | Behavior Technician | 10 Parsonage Rd, Suite 318, Edison, NJ 08837 | 2017-05-04 |
| 1508250705 | Patrick Wong | Family Medicine | 10 Parsonage Rd Ste 410, Edison, NJ 08837 | 2015-03-25 |
| 1881035541 | Wright Medical Response LLC | Non-emergency Medical Transport (VAN) | 3181 Woodbridge Avenue, Edison, NJ 08837 | 2013-07-10 |
| 1073852216 | Edison Township Board of Education | Local Education Agency (LEA) | 312 Pierson Avenue, Edison, NJ 08837 | 2013-02-07 |
| 1184974578 | Rock M Olofernes | Occupational Therapist | 148 Safran Ave, Edison, NJ 08837 | 2012-09-13 |
| 1851601330 | Garden State Physicians | Family Medicine | 1002 Amboy Ave., Edison, NJ 08837 | 2010-10-18 |
| 1215259528 | Surgical Associates Middlesex County | Surgery | 2 Lincoln Ave Ste 402, Edison, NJ 08837 | 2010-02-28 |
| Find all providers in zip 08837 | ||||
| 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 |
|---|---|---|---|---|
| 1184251944 | Vimalaben M Patel | Internal Medicine | 2177 Oak Tree Rd Ste 206, Edison, NJ 08820-1082 | 2020-03-23 |
| 1760941215 | Internal Medicine Associates of Central Jersey | Internal Medicine | 1804 Oak Tree Rd Ste 3, Edison, NJ 08820-2783 | 2019-03-14 |
| 1811486368 | Thomas J Cassidy Md LLC | Internal Medicine | 3910 Park Ave Ste 8, Edison, NJ 08820-3062 | 2018-05-09 |
| 1093226813 | Vincent Piperi | Internal Medicine | 1789 Lincoln Hwy # 142, Edison, NJ 08817-3483 | 2017-10-19 |
| 1972041143 | Healthy Life Md., LLC | Internal Medicine | 3840 Park Ave Ste 103, Edison, NJ 08820-2563 | 2017-02-07 |
| 1659761948 | Ketankumar Shah | Internal Medicine | 608 Cinder Rd, Edison, NJ 08820-3373 | 2015-01-26 |
| 1942638093 | Jey Care LLC | Internal Medicine | 25 Sonia Ct, Edison, NJ 08820-4443 | 2013-10-29 |
| 1376983460 | Wayne Greaves | Internal Medicine | 241 Fletcher St, Edison, NJ 08820-1765 | 2013-07-03 |
| 1225387905 | Scott S. Chae M.d. G.i. Clinic, LLC | Internal Medicine | 2 State Route 27 Ste 107, Edison, NJ 08820-3976 | 2012-09-10 |
| 1205198850 | Archana Joshi, LLC | Internal Medicine | 1856 Oak Tree Rd, Edison, NJ 08820-2704 | 2012-06-11 |
| Find all providers in EDISON | ||||
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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.