Samone Desai
Physician Assistant in North Bergen, New Jersey
1972076636- Practice location
- 9225 Kennedy Blvd Ste B, North Bergen, NJ 07047-5361
- Phone
- 201-453-2800
- Fax
- —
- Last updated
- January 5, 2019
Samone Desai is a Physician Assistant based in North Bergen, NJ. Samone Desai practices in North Bergen, NJ. The NPI Number for Samone Desai is 1972076636 and holds a License No. 25MP00497300 (NJ). The current practice location address for Samone Desai is 9225 Kennedy Blvd Ste B, North Bergen, NJ 07047-5361 and can be reached out via phone at 201-453-2800.
Provider Profile Details
- NPI Number
- 1972076636
- Provider Name
- Samone Desai
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 9225 Kennedy Blvd Ste B, North Bergen, NJ 07047-5361
- Phone Number
- 201-453-2800
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 5, 2019
- Last Update Date
- January 5, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 9225 Kennedy Blvd Ste B
North Bergen, NJ 07047-5361 - City
- North Bergen
- State
- New Jersey
- Zip
- 07047-5361
- Phone Number
- 201-453-2800
Provider Business Mailing Address Details
- Address
- 6603 Hana RD
Edison, NJ 08817-2546 - City
- Edison
- State
- NJ
- Zip
- 08817-2546
- Phone Number
- 848-219-6415
License Information
- License Number
- 25MP00497300
- License State
- NJ
- Taxonomy
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Samone Desai?
The NPI number of Samone Desai is 1972076636. It was assigned on January 5, 2019 and is currently active in the NPPES registry.
What is the specialty of Samone Desai?
Samone Desai is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00497300.
Where does Samone Desai practice?
The practice location is 9225 Kennedy Blvd Ste B, North Bergen, NJ 07047-5361. The office can be reached at 201-453-2800 (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 1972076636 directly on the NPPES registry website.