DR. JAY CHETAN DESAI (NPI# 1568969814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568969814 |
| Entity Type | Individual |
| Full Name | DR. JAY CHETAN DESAI |
| Credential | MD |
| Practice Address |
1 Bay St Glen Ridge NJ 07028-1505 |
| Mailing Address |
36 Hathaway Pl Glen Ridge NJ 07028-1507 |
| Practice Telephone | 9734296196 |
| Mailing Telephone | 8137317658 |
| Enumeration Date | 2018-04-11 |
| Last Update Date | 2018-04-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164524955 | Jay R Desai | Internal Medicine | 601 Old Norcross Rd, Suite A, Lawrenceville, GA 30045-4311 | 2006-09-02 |
| 1538397104 | Jay Desai | Internal Medicine | 1 Freedom Way, Augusta, GA 30904-6258 | 2009-06-23 |
| 1083889968 | Jay C Desai | Internal Medicine | 423 East 23rd Street, Va Ny Harbor Healthcare System, New York, NY 10010 | 2008-04-23 |
| 1750580189 | Jay Desai | Internal Medicine | 75 Francis St, Boston, MA 02115-6110 | 2007-07-16 |
| 1821172693 | Jay Suresh Desai | Optometrist | 20 Milltown Rd, Brewster, NY 10509-4344 | 2006-10-25 |
| 1518990415 | Jay Desai | Psychiatry & Neurology | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2006-07-07 |
| Street Address |
1 BAY ST |
| City | GLEN RIDGE |
| State | NJ |
| Zip Code | 07028-1505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508098765 | Andrea R. Medel | Physician Assistant | 1 Bay St, Glen Ridge, NJ 07028-1505 | 2009-08-20 |
| 1063050938 | Karen Calhoun | Registered Nurse | 1 Bay St, Glen Ridge, NJ 07028-1505 | 2019-12-11 |
| 1407352255 | Judith Albert | Student in an Organized Health Care Education/Training Program | 1 Bay St, Glen Ridge, NJ 07028-1505 | 2018-04-02 |
| 1407260623 | Jill D Langell | Occupational Therapist | 1 Bay St, Glen Ridge, NJ 07028-1505 | 2014-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346862463 | Kamlesh Mehrotra | Counselor | 192 Midland Ave, Glen Ridge, NJ 07028 | 2020-05-12 |
| 1821648965 | Sally Pitanga | Social Worker | 46 Victor Avenue, Glen Ridge, NJ 07028 | 2019-09-19 |
| 1487782579 | Kamlesh Khanna | Pediatrics | 401 Ridgewood Ave, Glen Ridge, NJ 07028 | 2007-03-01 |
| 1326111238 | Geraldine S Meanor | Internal Medicine | 150 Ridgewood Avenue, Glen Ridge, NJ 07028 | 2006-11-16 |
| 1134210305 | Cheryl D Ackerman | Dermatology | 368 Ridgewood Ave, Glen Ridge, NJ 07028 | 2006-09-27 |
| 1679530588 | Reuben Rozanski | Dermatology | 200 Highland Avenue, Glen Ridge, NJ 07028 | 2006-04-26 |
| 1629046388 | Ellen E Urrutia | Internal Medicine | 946 Bloomfield Avenue, Glen Ridge, NJ 07028 | 2006-03-09 |
| 1487632436 | Gastroenterology Group of New Jersey Pa | Internal Medicine | 123 Highland Avenue, Suite 103, Glen Ridge, NJ 07028 | 2006-01-09 |
| 1689668683 | Efthymios I Daniskas | Internal Medicine | 311 Bay Ave, Mmg Pulmonology, Glen Ridge, NJ 07028 | 2005-09-06 |
| 1255833281 | Lavinia May Couture | Physician Assistant | 230 Sherman Ave, Glen Ridge, NJ 07028 | 2018-03-06 |
| Find all providers in zip 07028 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407352255 | Judith Albert | Student in an Organized Health Care Education/Training Program | 1 Bay St, Glen Ridge, NJ 07028-1505 | 2018-04-02 |
| 1265828016 | Lukman Ali Hassan | Student in an Organized Health Care Education/Training Program | 1 Bay Avenue, Glen Ridge, NJ 07028 | 2015-04-08 |
| 1518363738 | Eliza Howland | Student in an Organized Health Care Education/Training Program | 21 High St, Glen Ridge, NJ 07028-2306 | 2014-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447851407 | Rebecca Lynn Collimore | Student in an Organized Health Care Education/Training Program | 5 Twin Oaks Ct, Jackson, NJ 08527-5359 | 2020-11-05 |
| 1033710926 | Akshay Chaudhari | Student in an Organized Health Care Education/Training Program | 240 Easton Ave Rm 4014, New Brunswick, NJ 08901-1723 | 2020-11-05 |
| 1124629019 | Shweta Bhagvanbhai Chaudhary | Student in an Organized Health Care Education/Training Program | 240 Easton Ave Rm No4014, New Brunswick, NJ 08901-1723 | 2020-11-05 |
| 1851992150 | Samantha Dickson | Student in an Organized Health Care Education/Training Program | 304 David Ct, Mullica Hill, NJ 08062-1512 | 2020-11-03 |
| 1558960120 | Savannah Jane Potter | Student in an Organized Health Care Education/Training Program | 35 Old Ln, Towaco, NJ 07082-1229 | 2020-10-23 |
| 1528665247 | Famya Khan | Student in an Organized Health Care Education/Training Program | 8 Robin Cir, Princeton Junction, NJ 08550-2244 | 2020-10-06 |
| 1861009599 | Rachael Nicole Romer | Student in an Organized Health Care Education/Training Program | 19 Pinehurst Ct, Blackwood, NJ 08012-5585 | 2020-09-27 |
| 1134735327 | Nickolas Auleta | Student in an Organized Health Care Education/Training Program | 7 Buckingham Dr, Southampton, NJ 08088-1101 | 2020-09-22 |
| 1871109751 | Garrett Bruce Miller | Student in an Organized Health Care Education/Training Program | 28 E Cohawkin Rd, Clarksboro, NJ 08020-1344 | 2020-09-16 |
| 1861007130 | Melyssa Mera Mandelbaum | Student in an Organized Health Care Education/Training Program | 13-47 Comerford Pl, Fair Lawn, NJ 07410-5103 | 2020-09-13 |
| Find all providers with the same taxonomy | ||||
| City | GLEN RIDGE |
| Zip Code | 07028 |
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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.