Individual
VIVEK ARVIND DESAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
20 PROSPECT AVE, HACKENSACK, NJ 07601-1997
(551) 996-8867
Mailing address
331 NEWMAN SPRINGS RD STE 220, RED BANK, NJ 07701-5792
(732) 807-0877
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
62004
CA
363A00000X
Physician Assistant
PA2330
ME
363A00000X
Physician Assistant
PA6015
MA
363AS0400X
Surgical Physician Assistant
055.0031539
VT
363AS0400X
Surgical Physician Assistant
25MP00483300
NJ
363AS0400X
Surgical Physician Assistant
PA2330
ME
Other
Enumeration date
07/06/2016
Last updated
06/05/2025
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