GAUTAM DESAI MD PA (NPI# 1902118276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902118276 |
| Entity Type | Organization |
| Organization Name | GAUTAM DESAI MD PA |
| Practice Address |
447 Route 10 Suite2 Randolph NJ 07869-2132 |
| Practice Telephone | 9733614555 |
| Enumeration Date | 2010-07-02 |
| Last Update Date | 2010-07-02 |
| Authorized Official Name | DR. GAUTAM T DESAI (PRESIDENT) |
| Authorized Official Telephone | 9733614555 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians |
| Street Address |
447 ROUTE 10 SUITE2 |
| City | RANDOLPH |
| State | NJ |
| Zip Code | 07869-2132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538243944 | Jonathan Mark Friedman | Dentist | 447 Route 10, Suite 5, Randolph, NJ 07869-2132 | 2006-10-24 |
| 1790226140 | Hearing Health Pa LLC | Audiologist-Hearing Aid Fitter | 447 Route 10, Suite 1, Randolph, NJ 07869-2132 | 2017-03-18 |
| 1053745117 | Randolph Oral Pathology Associates, LLC | Dentist | 447 Route 10, Suite 5, Randolph, NJ 07869-2132 | 2013-08-26 |
| 1770801888 | Jessica Lillian Wollenberg | Dentist | 447 Route 10, Suite 5, Randolph, NJ 07869-2132 | 2010-05-13 |
| 1568653376 | Brian Jeffrey Klein | Dentist | 447 Route 10, Suite 5, Randolph, NJ 07869-2132 | 2007-08-06 |
| 1285836650 | Bernard Ivan Barrish | Dentist | 447 Route 10, Suite 9, Randolph, NJ 07869 | 2007-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699398149 | Jaclyn Philbin | Dietitian, Registered | 11 Middlebury Boulevard, Suite 9/10, Randolph, NJ 07869 | 2020-05-19 |
| 1548806896 | Daniel Patrick Walsh | Physical Therapist | 390 Route Nj 10, Suite 202, Randolph, NJ 07869 | 2019-11-21 |
| 1518516061 | New Jersey Center for Cognitive and Dialectical Behavior Therapy | Clinic/Center | 1250 Sussex Tpke Ste N, Randolph, NJ 07869 | 2019-09-07 |
| 1396306031 | Marilyn (lynn) G Teale | Specialist/Technologist | 1248 Sussex Tpk, Unit B11, Randolph, NJ 07869 | 2019-06-24 |
| 1497218580 | Christopher Lamorte | Dentist | 390 Nj-10 West, Randolph, NJ 07869 | 2019-04-07 |
| 1982101309 | Essex County Weightloss, LLC | Family Medicine | 81 State Road 10 East, Randolph, NJ 07869 | 2018-04-11 |
| 1699285569 | Raechel Jean Lofaro | Nurse Practitioner | 8 Chestnut Hil Road, Randolph, NJ 07869 | 2017-10-05 |
| 1851800114 | Stephanie Jasinski | Counselor | 19 Harmony Rd, Randolph, NJ 07869 | 2017-09-29 |
| 1144739244 | Dickerson Dental Group, LLC | Dentist | 714 Route 10, Randolph, NJ 07869 | 2017-09-21 |
| 1053831479 | Melissa Morgan | Pediatrics | College Plaza Pediatrics, 765 Route 10 East, Ste 203, Randolph, NJ 07869 | 2017-06-27 |
| Find all providers in zip 07869 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| 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 |
|---|---|---|---|---|
| 1609494319 | Intensivist Md Support LLC | Internal Medicine | 1931 Oak Tree Rd Ste 202, Edison, NJ 08820-2072 | 2020-07-09 |
| 1124598438 | North Jersey Pulmonary Associates | Internal Medicine | 1040 Main St # 3, Paterson, NJ 07503-2212 | 2018-11-29 |
| 1487147740 | Advanced Pulmonary Medicine, LLC | Internal Medicine | 721 North Beers St, Suite 2g & H, Holmdel, NJ 07733 | 2018-06-12 |
| 1720522303 | Middlesex Pulmonary Geriatric Associates LLC | Internal Medicine | 815 New Dover Rd, Edison, NJ 08820-1820 | 2016-12-15 |
| 1750758785 | Internal and Pulmonary Medicine Associates LLC | Internal Medicine | 27 Primrose Ln, Sparta, NJ 07871-3495 | 2015-08-25 |
| 1083096598 | Justin Pi Md Inc | Internal Medicine | 241 Colby Pl, Morganville, NJ 07751-1744 | 2015-06-19 |
| 1710305339 | Scott G. Ferrara | Internal Medicine | 160 Essex St Ste 103, Lodi, NJ 07644-2709 | 2014-04-01 |
| 1972920510 | Atlantis Health Care Group Inc | Internal Medicine | 14 Tindall Rd, Middletown, NJ 07748-2722 | 2014-03-20 |
| 1942633656 | Carolina Pinzon Escobar | Internal Medicine | 1 Springfield Ave Fl 3, Summit, NJ 07901-4055 | 2013-08-16 |
| 1255690822 | Medical Specialists of Northern Newjersey LLC | Internal Medicine | 54a Hazen Ct, Wayne, NJ 07470-3212 | 2012-05-16 |
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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.