NPI 1194177972 · live from the CMS NPI Registry
Vivek Arvind Desai, PA-C
Physician Assistant in Hackensack, NJ. National Provider Identifier 1194177972, active.
NPI record
| NPI | 1194177972 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 20 Prospect Ave, Hackensack, NJ 07601 |
| Practice phone | 551-996-8867 |
| Mailing address | 331 Newman Springs Rd Ste 220, Red Bank, NJ 07701 |
| Enumerated | July 6, 2016 |
| Last updated | June 5, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | PA6015 (MA) |
| Physician Assistant, Surgical | 363AS0400X | 25MP00483300 (NJ) |
| Physician Assistant | 363A00000X | PA2330 (ME) |
| Physician Assistant, Surgical | 363AS0400X | 055.0031539 (VT) |
| Physician Assistant, Surgical | 363AS0400X | PA2330 (ME) |
| Physician Assistant primary | 363A00000X | 62004 (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.