| 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 | Meridian Medical Group - Specialty Care Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275362105 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: Not Enrolled in Medicare 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 | |
Dr. Lava Y Patel, MD Surgery Medicare: Medicare Enrolled Practice Location: 530 New Brunswick Ave, Perth Amboy, NJ 08861 Phone: 732-324-5075 |