Vivek A Desai, PA-C
Physician Assistant in Hackensack, New Jersey
1194177972- Practice location
- 20 Prospect Ave, Hackensack, NJ 07601-1997
- Phone
- 551-996-8867
- Fax
- —
- Last updated
- June 5, 2025
Vivek Arvind Desai is a Physician Assistant based in Hackensack, NJ. Vivek Arvind Desai practices in Hackensack, NJ and has the professional credentials of PA-C. The NPI Number for Vivek Arvind Desai is 1194177972 and holds a License No. PA6015 (MA). The current practice location address for Vivek Arvind Desai is 20 Prospect Ave, Hackensack, NJ 07601-1997 and can be reached out via phone at 551-996-8867.
Provider Profile Details
- NPI Number
- 1194177972
- Provider Name
- Vivek Arvind Desai
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 20 Prospect Ave, Hackensack, NJ 07601-1997
- Phone Number
- 551-996-8867
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 6, 2016
- Last Update Date
- June 5, 2025
- Certification Date
- June 5, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 20 Prospect Ave
Hackensack, NJ 07601-1997 - City
- Hackensack
- State
- New Jersey
- Zip
- 07601-1997
- Phone Number
- 551-996-8867
Provider Business Mailing Address Details
- Address
- 331 Newman Springs RD Ste 220
Red Bank, NJ 07701-5792 - City
- Red Bank
- State
- NJ
- Zip
- 07701-5792
- Phone Number
- 732-807-0877
License Information
- License Number (1)
- PA6015
- License State (1)
- MA
- Taxonomy (1)
- Physician Assistant · 363A00000X
- License Number (2)
- 25MP00483300
- License State (2)
- NJ
- Taxonomy (2)
- Physician Assistant, Surgical · 363AS0400X
- License Number (3)
- PA2330
- License State (3)
- ME
- Taxonomy (3)
- Physician Assistant · 363A00000X
- License Number (4)
- 055.0031539
- License State (4)
- VT
- Taxonomy (4)
- Physician Assistant, Surgical · 363AS0400X
- License Number (5)
- PA2330
- License State (5)
- ME
- Taxonomy (5)
- Physician Assistant, Surgical · 363AS0400X
- License Number (6)
- 62004
- License State (6)
- CA
- Taxonomy (6)
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physician Assistants near Hackensack, NJ
View all Physician Assistants in Hackensack →Frequently Asked Questions
What is the NPI number of Vivek A Desai, PA-C?
The NPI number of Vivek A Desai, PA-C is 1194177972. It was assigned on July 6, 2016 and is currently active in the NPPES registry.
What is the specialty of Vivek A Desai, PA-C?
Vivek A Desai, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in MA under license number PA6015.
Where does Vivek A Desai, PA-C practice?
The practice location is 20 Prospect Ave, Hackensack, NJ 07601-1997. The office can be reached at 551-996-8867 (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 1194177972 directly on the NPPES registry website.