SHAILENDRA A DESAI (NPI# 1073553152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073553152 |
| Entity Type | Individual |
| Full Name | SHAILENDRA A DESAI |
| Credential | MD |
| Practice Address |
1450 E Chestnut Ave Building 4, Suite A Vineland NJ 08361-8467 |
| Mailing Address |
11 Nolen Cir Voorhees NJ 08043-4110 |
| Practice Telephone | 8567948664 |
| Practice Fax Number | 8567942671 |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2014-08-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
MA41223 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | AMERIHEALTH | 0022417000 | 01 |
| NJ | 2149206 | 05 | |
| NJ | HORIZON NJ HEALTH | 1163957 | 01 |
| NJ | RRMC | 300132764 | 01 |
| Street Address |
1450 E CHESTNUT AVE BUILDING 4, SUITE A |
| City | VINELAND |
| State | NJ |
| Zip Code | 08361-8467 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871574962 | David Galetto | Internal Medicine | 1450 E Chestnut Ave, Bldg 3 Suite A, Vineland, NJ 08361-8467 | 2005-11-07 |
| 1497123418 | Pedersen Family Medicine, LLC | Family Medicine | 1450 E Chestnut Ave, Building 3, Suite D, Vineland, NJ 08361-8467 | 2015-09-08 |
| 1740667013 | Singleton Dental, LLC | Dentist | 1450 E Chestnut Ave, #3-c, Vineland, NJ 08361-8467 | 2015-05-06 |
| 1821494501 | 1450 Associates, LLC | Durable Medical Equipment & Medical Supplies | 1450 E Chestnut Ave, Bldg 4, Vineland, NJ 08361-8467 | 2014-11-07 |
| 1336554278 | Cumberland Internal Medicine Pa | Non-Pharmacy Dispensing Site | 1450 E Chestnut Ave, Building 3a, Vineland, NJ 08361-8467 | 2014-06-30 |
| 1912166133 | Russell Paige Singleton | Dentist | 1450 E Chestnut Ave, #3-c, Vineland, NJ 08361-8467 | 2008-06-03 |
| 1932376621 | 1450 Associates LLC | Clinic/Center | 1450 E Chestnut Ave, Building 4 Suite A, Vineland, NJ 08361-8467 | 2008-05-12 |
| 1922274158 | Sleepcare Centers, Inc | Specialist | 1450 E Chestnut Ave, Bldg. 6 Ste.b, Vineland, NJ 08361-8467 | 2008-05-07 |
| 1821276015 | Vakula Devi Atthota | Internal Medicine | 1450 E Chestnut Ave, Bldg 3 Suite A, Vineland, NJ 08361-8467 | 2008-02-10 |
| 1376685875 | Melody A Shepherd-thomas | Internal Medicine | 1450 E Chestnut Ave, Bldg 3 Suite A, Vineland, NJ 08361-8467 | 2007-02-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205200755 | Caringhouse Projects, Inc | Respite Care | 1702 Gardner Street, Apt 3a & 3b, Vineland, NJ 08361 | 2015-11-20 |
| 1588038038 | Caringhouse Projects, Inc | Respite Care | 5191 East Chestnut Avenue, Vineland, NJ 08361 | 2015-11-20 |
| 1568835593 | Caringhouse Projects, Inc | Respite Care | 1718 Gardner Street, Apts 1 & 2, Vineland, NJ 08361 | 2015-11-13 |
| 1821471566 | Elwyn New Jersey | Day Training, Developmentally Disabled Services | 1667 E Landis Ave Ste 1, Vineland, NJ 08361 | 2015-06-30 |
| 1851774665 | Elwyn New Jersey | Day Training, Developmentally Disabled Services | 1667 E Landis Ave Ste 6, Vineland, NJ 08361 | 2015-06-30 |
| 1730562471 | Elwyn New Jersey | Day Training, Developmentally Disabled Services | 1667 E Landis Ave Ste 9, Vineland, NJ 08361 | 2015-06-30 |
| 1629466438 | Jadira Carlo | Counselor | Gardner Street Supervised Aparment, Vineland, NJ 08361 | 2014-12-31 |
| 1699080226 | John Platanella Jr. | Pharmacist | 1889 South Lincoln Ave., Rite Aid #10490, Vineland, NJ 08361 | 2010-08-06 |
| 1003982729 | Sheldon Vischer Smith Sr. | Internal Medicine | 1676 E Landis Avenue, Vineland, NJ 08361 | 2006-11-27 |
| 1689760951 | Tom A Tassakis | Internal Medicine | 1550 E Chestnut Ave, Building 4 Suite D, Vineland, NJ 08361 | 2006-10-05 |
| Find all providers in zip 08361 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497700702 | Garden State Mri Corp | Radiology | 1470 S Main Rd, Building 2, Vineland, NJ 08360-6588 | 2006-05-24 |
| 1245559194 | Eric Wydra | Radiology | 1505 W. Sherman Avenue, Dept of Radiology, Vineland, NJ 08360-6912 | 2010-05-18 |
| 1902051402 | Vineland Mri PC | Radiology | 2848 S Delsea Dr, Vineland, NJ 08360-7042 | 2008-11-25 |
| 1902014749 | Nitesh N Bhagat | Radiology | 1505 W Sherman Ave, Vineland, NJ 08360-6912 | 2007-05-17 |
| 1407868201 | University Imaging Center LLC | Radiology | 1051 W Sherman Ave, Ste 2b, Vineland, NJ 08360-6931 | 2006-08-12 |
| 1598795932 | Bridget D Bernardi | Radiology | 1505 W Sherman Ave, Vineland, NJ 08360-6912 | 2006-07-03 |
| 1285675389 | Jacqueline S Gomberg | Radiology | 1505 W Sherman Ave, Vineland, NJ 08360-6912 | 2006-06-09 |
| 1730129826 | Satish P Shah | Radiology | 1450 E Chestnut Ave, Building 4, Suite A, Vineland, NJ 08361-8467 | 2006-06-07 |
| 1285674358 | Steven H Rothfarb | Radiology | 1450 E Chestnut Ave, Building 4, Suite A, Vineland, NJ 08361-8467 | 2006-06-07 |
| 1265489207 | Ernesto B Go | Radiology | 1450 E Chestnut Ave, Building 4, Suite A, Vineland, NJ 08361-8467 | 2006-05-27 |
| Find all providers in VINELAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.