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Mira Desai, LLC

Counselor, Professional in Basking Ridge, NJ. Organization (NPI-2).

NPI number1487429460
StatusActive
Last updated in NPPESNov 20, 2023

Details

NPI
1487429460
Entity type
Organization (NPI-2)
Legal business name
Mira Desai, LLC
Organization subpart
No
Enumeration date
Nov 20, 2023
Certification date
Nov 20, 2023
Last updated
Nov 20, 2023

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, Professional––Yes

Other names

  • Mira Desai, LLC (Doing Business As)

Practice location

64 Conkling St
Basking Ridge, NJ 07920-1715

Phone 917-533-5871

Mailing address

64 Conkling St
Basking Ridge, NJ 07920-1715

Phone 917-533-5871

Authorized official

Mira Desai
Owner
9175335871

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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