Basavaraj V Desai (NPI# 1740255603, PAC ID# 8729079439) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1740255603 |
| PAC ID by PECOS | 8729079439 |
| Professional Enrollment ID | I20040521000039 |
| Full Name | Basavaraj V Desai |
| Organization Legal Name | ADVANTAGECARE PHYSICIANS PC |
| Address |
640 Hawkins Ave Lake Ronkonkoma NY 11779-2324 |
| Phone Number | 6317370100 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1985 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 2365735008 |
| Number of Group Practice Members | 403 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330043 | NS/LIJ HS SOUTHSIDE HOSPITAL |
| 330106 | NS/LIJ HS-NORTH SHORE UNIVERSITY HOSPITAL AT MANHASSET |
| 330107 | PECONIC BAY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 39 Brentwood Rd, Suite 101, Bay Shore, NY 11706-8031 | 6315917400 | NORTH SHORE-LIJ MEDICAL PC |
| 640 Hawkins Ave, Lake Ronkonkoma, NY 11779-2324 | 6317370100 | ADVANTAGECARE PHYSICIANS PC |
| Organization Legal Name | ADVANTAGECARE PHYSICIANS PC |
| Physicians | 476 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Haitham M Ahmed | Cardiovascular Disease (cardiology) | Advantagecare Physicians PC | 215 E 95th St, New York, NY 10128-4077 |
| Magda F Louka | Family Medicine | Advantagecare Physicians PC | 1050 Clove Rd, Staten Island, NY 10301-3627 |
| Charlene Carolyn Scotton | Nurse Practitioner | Advantagecare Physicians PC | 447 Atlantic Ave, Brooklyn, NY 11217-1702 |
| Joy Bobbette Fevrier | Nurse Practitioner | Advantagecare Physicians PC | 233 Nostrand Ave, Brooklyn, NY 11205-4924 |
| Jodi Kunibe | Nurse Practitioner | Advantagecare Physicians PC | 154 W 71st St, New York, NY 10023-4005 |
| Michael Jerome | Internal Medicine | Advantagecare Physicians PC | 4337 Broadway, New York, NY 10033-2411 |
| Chika N Odili | Nurse Practitioner | Advantagecare Physicians PC | 3245 Nostrand Ave, Brooklyn, NY 11229-3716 |
| Main Uddin | Nurse Practitioner | Advantagecare Physicians PC | 16927 137th Ave, Jamaica, NY 11434-4517 |
| Claris Gautreaux | Family Medicine | Advantagecare Physicians PC | 570 Grand St, New York, NY 10002-4379 |
| Tara Singh | Internal Medicine | Advantagecare Physicians PC | 640 Hawkins Ave, Lake Ronkonkoma, NY 11779-2324 |
| Street Address |
640 HAWKINS AVE |
| City | LAKE RONKONKOMA |
| State | NY |
| Zip | 11779-2324 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tara Singh | Internal Medicine | Advantagecare Physicians PC | 640 Hawkins Ave, Lake Ronkonkoma, NY 11779-2324 |
| Bhanumathy Vinayagasundaram | Family Medicine | Advantagecare Physicians PC | 640 Hawkins Ave, Lake Ronkonkoma, NY 11779-2324 |
| Stephen H Ashinoff | Optometry | Eye Care Advantage Inc | 640 Hawkins Ave, Lake Ronkonkoma, NY 11779-2324 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven J Salvatore | Internal Medicine | City Medical of Upper East Side Pllc | 600 Portion Rd, Ronkonkoma, NY 11779-1867 |
| Patricia Payne-marsky | Clinical Social Worker | Wellqor Psychological Services Northeast, PC | 675 Portion Rd, Lake Ronkonkoma, NY 11779-1878 |
| Jeanne Squires | Clinical Social Worker | 21 Croydon Ave, Ronkonkoma, NY 11779-1947 | |
| Kristy Goodman | Physical Therapy | Team Rehab Physical Therapy PC | 958 Portion Rd, Ronkonkoma, NY 11779-1975 |
| Andrea Nomberg | General Practice | 709 Hawkins Ave, Ronkonkoma, NY 11779-2293 | |
| Suganthi Ravindran | Internal Medicine | 709 Hawkins Ave, Suite 1, Lake Ronkonkoma, NY 11779-2293 | |
| Dodis Kohan | Obstetrics/gynecology | 518 Hawkins Ave, Ronkonkoma, NY 11779-2327 | |
| Ronald R Bernardini | Chiropractic | 201 Portion Rd, Suite A, Lake Ronkonkoma, NY 11779-2341 | |
| Todd J Maltese | Neurology | Todd J Maltese Do PC | 650 Hawkins Ave, Suite 7, Ronkonkoma, NY 11779-2366 |
| Maryana Liedke | Neurology | Todd J Maltese Do PC | 650 Hawkins Ave, Suite 7, Ronkonkoma, NY 11779-2366 |
| Find all physicians in zip 11779 | |||
| City | LAKE RONKONKOMA |
| Zip Code | 11779 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | LAKE RONKONKOMA + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.