Active NPIIndividual providerSole proprietor

Nishu Desai, DPM

Podiatrist, Foot & Ankle Surgery in Newark, New Jersey

NPI Number1982273983
Practice location
111 Central Ave Dept Floord7, Newark, NJ 07102-1909
Fax
—
Last updated
February 14, 2025

Nishu Desai is a Podiatrist, Foot & Ankle Surgery based in Newark, NJ. Nishu Desai practices in Newark, NJ and has the professional credentials of DPM. The NPI Number for Nishu Desai is 1982273983 and holds a License No. 25MD00384600 (NJ). The current practice location address for Nishu Desai is 111 Central Ave Dept Floord7, Newark, NJ 07102-1909 and can be reached out via phone at 973-877-5465.

Provider Profile Details

NPI Number
1982273983
Provider Name
Nishu Desai
Credential
DPM
Provider Entity Type
Individual
Gender
Female
Address
111 Central Ave Dept Floord7, Newark, NJ 07102-1909
Phone Number
973-877-5465
Primary Taxonomy
Podiatrist, Foot & Ankle Surgery · 213ES0103X
Sole Proprietor
Yes
Provider Enumeration Date
June 23, 2021
Last Update Date
February 14, 2025
Certification Date
February 14, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
111 Central Ave Dept Floord7
Newark, NJ 07102-1909
City
Newark
Zip
07102-1909
Phone Number
973-877-5465
Newark, NJ 07102Get directions →

Provider Business Mailing Address Details

Address
111 Central Ave Dept Floor7
Newark, NJ 07102-1909
City
Newark
State
NJ
Zip
07102-1909
Phone Number
973-877-5465

License Information

License Number (2)
25MD00384600
License State (2)
NJ
Taxonomy (2)
Podiatrist, Foot & Ankle Surgery · 213ES0103X · 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 Nishu Desai, DPM?

The NPI number of Nishu Desai, DPM is 1982273983. It was assigned on June 23, 2021 and is currently active in the NPPES registry.

What is the specialty of Nishu Desai, DPM?

Nishu Desai, DPM is registered under the primary taxonomy Podiatrist, Foot & Ankle Surgery (code 213ES0103X), licensed in NJ under license number 25MD00384600.

Where does Nishu Desai, DPM practice?

The practice location is 111 Central Ave Dept Floord7, Newark, NJ 07102-1909. The office can be reached at 973-877-5465 (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 1982273983 directly on the NPPES registry website.

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