Ajit Desai, | |
530 New Brunswick Ave, Perth Amboy, NJ 08861-3674 | |
(732) 324-5348 | |
(732) 324-4811 |
Full Name | Ajit Desai |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 530 New Brunswick Ave, Perth Amboy, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609818640 | NPI | - | NPPES |
P00217617 | Other | NJ | RR MDCR # |
2835641000 | Other | NJ | AMERIHEALTH # |
60013987 | Other | NJ | HORIZON NJ HEALTH # |
8220015 | Other | NJ | GHI PPO # |
3K3866 | Other | NJ | HEALTHNET # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 25MA05873200 (New Jersey) | Primary |
Entity Name | Raritan Bay Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306954243 PECOS PAC ID: 6204820574 Enrollment ID: O20041105000457 |
Entity Name | Meridian Medical Group-specialty Care Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942362587 PECOS PAC ID: 6507962206 Enrollment ID: O20070425000673 |
Mailing Address | Practice Location Address |
---|---|
Ajit Desai, Po Box 48270, Newark, NJ 07101-4800 Ph: (201) 818-9118 | Ajit Desai, 530 New Brunswick Ave, Perth Amboy, NJ 08861-3674 Ph: (732) 324-5348 |
Kirtikumar J Patel, M.D. F.A.C.S. Surgery Medicare: Medicare Enrolled Practice Location: 530 New Brunswick Ave, Perth Amboy, NJ 08861 Phone: 732-442-3700 | |
Maximo Gabucan, Surgery Medicare: Not Enrolled in Medicare Practice Location: 530 New Brunswick Ave, Perth Amboy, NJ 08861 Phone: 732-324-5348 Fax: 732-324-4811 | |
Dr. Francisco Antonio Salcie, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 321 High St, Perth Amboy, NJ 08861 Phone: 732-324-0507 Fax: 732-324-0509 | |
Dr. Guillermo Gutierrez, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 530 New Brunswick Ave, Perth Amboy, NJ 08861 Phone: 732-324-6031 Fax: 732-324-4811 |