GAUTAM J DESAI (NPI# 1245242510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245242510 |
| Entity Type | Individual |
| Full Name | GAUTAM J DESAI |
| Credential | M.D. |
| Practice Address |
842 Broadway West Long Branch NJ 07764-1503 |
| Practice Telephone | 7322220180 |
| Practice Fax Number | 7322223990 |
| Mailing Telephone | 7322220180 |
| Mailing Fax Number | 7322223990 |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | MA07111300 | NJ | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639116742 | Gautam T Desai | Internal Medicine | 447 Rt 10, Suite 2, Randolph, NJ 07869 | 2006-05-31 |
| 1417047663 | Gautam D Desai | Family Medicine | 2020 S Independence Blvd, Suite #3, Virginia Beach, VA 23453 | 2006-10-16 |
| 1881633071 | Gautam Desai | Family Medicine | 1010 Carondelet Dr, Suite #220, Kansas City, MO 64114-4859 | 2006-06-05 |
| Street Address |
842 BROADWAY |
| City | WEST LONG BRANCH |
| State | NJ |
| Zip Code | 07764-1503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073932554 | Kiren P Sahni | Internal Medicine | 842 Broadway, West Long Branch, NJ 07764-1503 | 2014-04-10 |
| 1881777100 | Jenalyn Canullas | Nurse Practitioner | 842 Broadway, West Long Branch, NJ 07764-1503 | 2006-10-23 |
| 1568575678 | Ocean Primary Care Associates, LLC | Internal Medicine | 842 Broadway, West Long Branch, NJ 07764-1503 | 2006-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659854461 | Melanie Ramp | Nurse Practitioner | 100 Route 36, Suite 2k Vantage Point Bldg, West Long Branch, NJ 07764 | 2018-09-08 |
| 1154849750 | Rosbel Maria Puello | Counselor | 232 Norwood Avenue Building #2, West Long Branch, NJ 07764 | 2017-09-03 |
| 1821445594 | Jsr Medical Services LLC | Clinic/Center | 214 State Highway 36, Suite 5, West Long Branch, NJ 07764 | 2016-05-23 |
| 1265831259 | Allied Digestive Health, LLC | Anesthesiology | 187 Route 36, Monmouth Corporate Park Center I;building A, Suite 230, West Long Beach, NJ 07764 | 2014-08-15 |
| 1669891180 | Christopher Charles Gillis | Neurological Surgery | 121 Route 36 Ste 330, West Long Branch, NJ 07764 | 2014-04-11 |
| 1336485309 | Christopher Ralph Castellano | Physician Assistant | Afc Urgent Care, 214 State Highway 36, West Long Beach, NJ 07764 | 2012-12-19 |
| 1457687337 | Danielle Monti Pfeiffer | Counselor | 232 Norwood Avenue, Building 2, West Long Branch, NJ 07764 | 2009-10-27 |
| 1770741084 | Subha Sundararajan | Internal Medicine | 60 Highway 35, Suite B, West Long Branch, NJ 07764 | 2008-05-23 |
| 1033376157 | Alexander G Lasalle | Social Worker | 24 Walnut Place, West Long Branch, NJ 07764 | 2008-05-16 |
| 1962610485 | Richard Dean Isaacson | Dentist | 103 Parker Road, West Long Branch, NJ 07764 | 2007-05-18 |
| Find all providers in zip 07764 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497796973 | Eddie W Santiago | Internal Medicine | 100 Highway 36 Ste 2m, West Long Branch, NJ 07764-1453 | 2006-06-08 |
| 1285614586 | Zorica Jelisijevic Mercadante | Internal Medicine | 103 Parker Rd, Suite B, West Long Branch, NJ 07764-1009 | 2006-01-20 |
| 1093798571 | Robert L Carracino | Internal Medicine | 241 Monmouth Rd, West Long Branch, NJ 07764-1177 | 2005-11-29 |
| 1902896368 | Arthur Donato Mari | Internal Medicine | 280 Norwood Ave, West Long Branch, NJ 07764-1879 | 2005-10-26 |
| 1386060507 | Punit Rajnikant Jariwala | Internal Medicine | 100 Hwy 36, Suite 2k, West Long Branch, NJ 07764-1462 | 2014-03-12 |
| 1184752511 | Mark C. Newman | Internal Medicine | 103 Parker Rd, West Long Branch, NJ 07764 | 2007-02-28 |
| 1568575678 | Ocean Primary Care Associates, LLC | Internal Medicine | 842 Broadway, West Long Branch, NJ 07764-1503 | 2006-08-16 |
| 1639106016 | David Falco | Internal Medicine | 280 Norwood Ave, West Long Branch, NJ 07764-1879 | 2006-06-28 |
| 1699716175 | Sherif Malek | Internal Medicine | 232 Norwood Ave, West Long Branch, NJ 07764-1859 | 2006-06-08 |
| 1124066709 | Wlb Medical Associates, P.C. | Internal Medicine | 241 Monmouth Rd, West Long Branch, NJ 07764-1177 | 2006-06-03 |
| Find all providers in WEST LONG BRANCH | ||||
| City | WEST LONG BRANCH |
| Zip Code | 07764 |
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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.