Derrick M Desilva Jr. M.D. LLC
NPI 1295192706ActiveOrganization· Internal Medicine· Edison, NJ
Internal Medicine in Edison, New Jersey, registered in NPPES in January 2016. The authorized official on file is Derrick M. Desilva, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1295192706 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 28, 2016 |
| Last updated in NPPES | Jan 28, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 25MA05140000 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NJ) |
|---|
Other Internal Medicine providers in Edison
- 1598953788
- 1548615701
- 1205198850
- 1700749553
- 1750243366
- 1760757918
- 1215333810
- 1225043094
- 1891151247
- 1417483314
- 1851601330
- 1972041143