DERRICK M. DESILVA, JR. MD
NPI 1083923585
Non-Pharmacy Dispensing Site in Edison, NJ

Active since September 30, 2010
629 AMBOY AVE, EDISON, NJ 08837(732) 738-8801 Get Directions Write a Review

NPPES record last updated: March 1, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Derrick M. Desilva, Jr. Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DERRICK M. DESILVA, JR. MD (NPI 1083923585) is a healthcare organization registered as a non-pharmacy dispensing site in Edison, New Jersey and active in the NPI registry since September 2010. The organization lists Derrick M. Desilva, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1083923585
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameDERRICK M. DESILVA, JR. MD
Location Address629 AMBOY AVEEdison, NJ 08837-3579
Mailing Address2980 N Beverly Glen Cir, Suite 301Los Angeles, CA 90077-1726 · (310) 474-9809
Organization SubpartYes
Authorized OfficialDerrick M. DesilvaMedical Director · (732) 738-8801
Enumeration DateSeptember 30, 2010
Last NPPES UpdateMarch 1, 2011
NPI 1083923585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
629 AMBOY AVE, Edison, NJ 08837

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
629 AMBOY AVE
EDISON, NJ 08837
Internal Medicine
629 AMBOY AVE, 2ND FLOOR
EDISON, NJ 08837
Physical Therapist
629 AMBOY AVE
EDISON, NJ 08837
Internal Medicine
629 AMBOY AVE
EDISON, NJ 08837
Family Medicine
629 AMBOY AVE, STE 109
EDISON, NJ 08837
Non-Pharmacy Dispensing Site
629 AMBOY AVE
EDISON, NJ 08837
Family Medicine
629 AMBOY AVE, SUITE 109
EDISON, NJ 08837
Family Medicine (Geriatric Medicine)
629 AMBOY AVE, 3RD FLOOR
EDISON, NJ 08837

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Derrick M. Desilva, Jr. MD's NPI number?

The NPI number for Derrick M. Desilva, Jr. MD is 1083923585. It was assigned to this organization in the NPPES registry on September 30, 2010.

Where is Derrick M. Desilva, Jr. MD located?

Derrick M. Desilva, Jr. MD is located at 629 Amboy Ave, Edison, NJ 08837. The listed phone number is (732) 738-8801.

What is Derrick M. Desilva, Jr. MD's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

When was this NPI record last updated?

The NPPES record for Derrick M. Desilva, Jr. MD was last updated on March 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.