# JIGNYASA DESAI DO LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750747085
- **Authorized official:** DR. JIGNYASA DESAI DO (PRESIDENT)
- **Authorized official phone:** (917) 444-6999

## Contact information

- **Practice address:** 190 SYLVAN AVE, SUITE 1, ENGLEWOOD CLIFFS, NJ 07632-2542
- **Practice address phone:** (855) 443-2544
- **Mailing address:** PO BOX 310, EDGEWATER, NJ 07020-0310
- **Mailing address phone:** (917) 444-6999

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NJ | — |
| 208VP0000X | Pain Medicine Physician | — | NJ | Yes |

## Other

- **Enumeration date:** 12/31/2015
- **Last updated:** 12/31/2015