Active NPIOrganization

Derrick M. Desilva, Jr. MD

Non-Pharmacy Dispensing Site in Edison, New Jersey

NPI Number1083923585
Practice location
629 Amboy Ave, Edison, NJ 08837-3579
Fax
—
Last updated
March 1, 2011

Derrick M. Desilva, Jr. MD is a healthcare organization based in Edison, NJ. Derrick M. Desilva, Jr. MD practices in Edison, NJ. The NPI Number for Derrick M. Desilva, Jr. MD is 1083923585. The current practice location address for Derrick M. Desilva, Jr. MD is 629 Amboy Ave, Edison, NJ 08837-3579 and can be reached out via phone at 732-738-8801.

Provider Profile Details

NPI Number
1083923585
Provider Name
Derrick M. Desilva, Jr. MD
Provider Entity Type
Organization
Address
629 Amboy Ave, Edison, NJ 08837-3579
Phone Number
732-738-8801
Primary Taxonomy
Non-Pharmacy Dispensing Site · 332900000X
Organization Subpart
Yes
Parent Organization
Derrick M. Desilva, Jr. MD
Authorized Official
Derrick M. Desilva, MD · Medical Director · 732-738-8801
Provider Enumeration Date
September 30, 2010
Last Update Date
March 1, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
629 Amboy Ave
Edison, NJ 08837-3579
City
Edison
Zip
08837-3579
Phone Number
732-738-8801
Edison, NJ 08837Get directions →

Provider Business Mailing Address Details

Address
2980 N Beverly Glen Cir
Suite 301
Los Angeles, CA 90077-1726
City
Los Angeles
State
CA
Zip
90077-1726
Phone Number
310-474-9809

License Information

Taxonomy
Non-Pharmacy Dispensing Site · 332900000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Derrick M. Desilva, Jr. MD?

The NPI number of Derrick M. Desilva, Jr. MD is 1083923585. It was assigned on September 30, 2010 and is currently active in the NPPES registry.

What is the specialty of Derrick M. Desilva, Jr. MD?

Derrick M. Desilva, Jr. MD is registered under the primary taxonomy Non-Pharmacy Dispensing Site (code 332900000X).

Where does Derrick M. Desilva, Jr. MD practice?

The practice location is 629 Amboy Ave, Edison, NJ 08837-3579. The office can be reached at 732-738-8801 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1083923585 directly on the NPPES registry website.

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