Provider Demographics
NPI:1477994051
Name:DESAI, PARESH A (PA)
Entity Type:Individual
Prefix:MR
First Name:PARESH
Middle Name:A
Last Name:DESAI
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:111 STATE ROUTE 31 STE 111
Mailing Address - Street 2:
Mailing Address - City:FLEMINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08822-4953
Mailing Address - Country:US
Mailing Address - Phone:908-284-9880
Mailing Address - Fax:908-782-4316
Practice Address - Street 1:111 STATE ROUTE 31 STE 111
Practice Address - Street 2:
Practice Address - City:FLEMINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08822
Practice Address - Country:US
Practice Address - Phone:908-284-9880
Practice Address - Fax:908-782-4316
Is Sole Proprietor?:No
Enumeration Date:2013-07-11
Last Update Date:2019-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MP00310200363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical