Provider Demographics
NPI:1245308105
Name:DESAI & DESAI INC.
Entity type:Organization
Organization Name:DESAI & DESAI INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:VRAJESH
Authorized Official - Middle Name:C
Authorized Official - Last Name:DESAI
Authorized Official - Suffix:
Authorized Official - Credentials:R PH
Authorized Official - Phone:732-566-3304
Mailing Address - Street 1:1-7 LAURENCE PARKWAY
Mailing Address - Street 2:HWY 35
Mailing Address - City:LAURENCE HARBOR
Mailing Address - State:NJ
Mailing Address - Zip Code:08879
Mailing Address - Country:US
Mailing Address - Phone:732-566-3304
Mailing Address - Fax:
Practice Address - Street 1:1-7 LAURENCE PARKWAY
Practice Address - Street 2:HWY 35
Practice Address - City:LAURENCE HARBOR
Practice Address - State:NJ
Practice Address - Zip Code:08879
Practice Address - Country:US
Practice Address - Phone:732-566-3304
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-30
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RS00376100332B00000X, 333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ3261701Medicaid
NJ4369904Medicaid
NJ3127392OtherNABP
NJ3127392OtherNABP
NJ3261701Medicaid