Individual
NICKY DESAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
99 BEAUVOIR AVE, SUMMIT, NJ 07901-3533
(908) 522-2000
Mailing address
PO BOX 416457, BOSTON, MA 02241-6457
(844) 362-1735
(973) 290-7495
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA09752500
NJ
208M00000X
Hospitalist Physician
Primary
25MA09752500
NJ
Other
Enumeration date
06/01/2012
Last updated
06/23/2025
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