| Anish Desai, MD | |
|
1500 Route 112 Ste B, Port Jefferson Station, NY 11776-8054 | |
| (631) 978-7633 | |
| (631) 621-4119 |
| Full Name | Anish Desai |
|---|---|
| Gender | Male |
| Speciality | Pulmonary Disease |
| Experience | 16 Years |
| Location | 1500 Route 112 Ste B, Port Jefferson Station, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093050007 | NPI | - | NPPES |
| 04494735 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RP1001X | Internal Medicine - Pulmonary Disease | 280824 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Suny/stony Brook University Hospital | Stony brook, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Stony Brook Internists University Faculty Practice Corporation | 9133019821 | 383 |
| Entity Name | Department Of Medicine Medical Serv Grp At Suny Hlth Sci Ctr Syr In |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063468239 PECOS PAC ID: 3274445796 Enrollment ID: O20031104000051 |
| Entity Name | Stony Brook Internists University Faculty Practice Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295778371 PECOS PAC ID: 9133019821 Enrollment ID: O20040317000450 |
| Entity Name | Upstate Community Medical, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689620163 PECOS PAC ID: 0143238782 Enrollment ID: O20060323000644 |
| Mailing Address | Practice Location Address |
|---|---|
| Anish Desai, MD 1500 Route 112 Ste B, Port Jefferson Station, NY 11776-8054 Ph: (631) 978-7633 | Anish Desai, MD 1500 Route 112 Ste B, Port Jefferson Station, NY 11776-8054 Ph: (631) 978-7633 |
Dr. Michael W Mendelson, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 5360 Nesconset Hghy, Suite B, Port Jefferson Station, NY 11776 Phone: 631-331-3200 Fax: 631-331-3694 | |
Matias M Dcosta, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 931 Hallock Ave, Port Jefferson Station, NY 11776 Phone: 631-331-7200 Fax: 631-331-8636 | |
Kinjal Amit Gosalia, STUDENT Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 5316 Nesconset Hwy, Port Jefferson Station, NY 11776 Phone: 631-758-7003 Fax: 631-751-0506 | |
Zarlasht Khan, Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1500 Route 112, Port Jefferson Station, NY 11776 Phone: 631-743-6840 | |
Anil Sangwan, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 116 Terryville Rd, Port Jefferson Station, NY 11776 Phone: 631-928-2002 Fax: 631-473-4427 | |
Peter Ottavio, D.O. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1500 Route 112 Ste B, Port Jefferson Station, NY 11776 Phone: 631-978-7633 Fax: 631-621-4115 |