DR. BRENA MANISH DESAI MD NPI 1619929502

NPI Information

NPI: 1619929502
Provider Name: DR. BRENA MANISH DESAI, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual

CLIA Number: 33D1022804

Address:
15715 46TH AVE
FLUSHING, NY
ZIP 11355
Phone: (718) 445-3029
Get Directions

DR. Brena Manish Desai, MD is a pediatrics in Flushing, NY. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DR. Brena Manish Desai, MD NPI is 1619929502. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

15715 46TH AVE
FLUSHING, NY
ZIP 11355-353
Phone: (718) 445-3029
Fax: (718) 445-2889

The CLIA number assigned to this NPI record is 33D1022804 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/17/2006 and was last updated on 2/14/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207P00000X	Emergency Medicine		225205	NEW YORK	No
2	208000000X	Pediatrics		225205	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	02286208	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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