Ms. Madhavi Desai, PA-C
Physician Assistant in Fair Lawn, New Jersey
1972119329- Practice location
- 2-22 Banta Pl, Fair Lawn, NJ 07410-3058
- Phone
- 877-532-7837
- Fax
- —
- Last updated
- September 8, 2026
Madhavi Desai is a Physician Assistant based in Fair Lawn, NJ. Madhavi Desai practices in Fair Lawn, NJ and has the professional credentials of PA-C. The NPI Number for Madhavi Desai is 1972119329 and holds a License No. 25MP00577900 (NJ). The current practice location address for Madhavi Desai is 2-22 Banta Pl, Fair Lawn, NJ 07410-3058 and can be reached out via phone at 877-532-7837.
Provider Profile Details
- NPI Number
- 1972119329
- Provider Name
- Madhavi Desai
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 2-22 Banta Pl, Fair Lawn, NJ 07410-3058
- Phone Number
- 877-532-7837
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 21, 2020
- Last Update Date
- September 8, 2026
- Certification Date
- September 8, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2-22 Banta Pl
Fair Lawn, NJ 07410-3058 - City
- Fair Lawn
- State
- New Jersey
- Zip
- 07410-3058
- Phone Number
- 877-532-7837
Provider Business Mailing Address Details
- Address
- 1455 Broad St Ste 20
Bloomfield, NJ 07003-3039 - City
- Bloomfield
- State
- NJ
- Zip
- 07003-3039
- Phone Number
- 877-532-8737
License Information
- License Number
- 25MP00577900
- 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 Ms. Madhavi Desai, PA-C?
The NPI number of Ms. Madhavi Desai, PA-C is 1972119329. It was assigned on September 21, 2020 and is currently active in the NPPES registry.
What is the specialty of Ms. Madhavi Desai, PA-C?
Ms. Madhavi Desai, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00577900.
Where does Ms. Madhavi Desai, PA-C practice?
The practice location is 2-22 Banta Pl, Fair Lawn, NJ 07410-3058. The office can be reached at 877-532-7837 (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 1972119329 directly on the NPPES registry website.