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DERRICK M DESILVA JR. M.D. LLC
NPI 1295192706
Internal Medicine in Edison, NJ

Active since January 28, 2016
629 AMBOY AVE, 2ND FLOOR, EDISON, NJ 08837(732) 738-8801(732) 738-8802 Get Directions Write a Review

NPPES record last updated: January 28, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Derrick M Desilva Jr. M.d. Llc NPPES

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

DERRICK M DESILVA JR. M.D. LLC (NPI 1295192706) is a healthcare organization registered as an internal medicine in Edison, New Jersey and active in the NPI registry since January 2016. The organization lists Derrick M Desilva, Owner, as its authorized official.

NPPES Registry Identity

NPI1295192706
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameDERRICK M DESILVA JR. M.D. LLC
Location Address629 AMBOY AVE, 2ND FLOOREdison, NJ 08837-3579
Mailing Address629 Amboy Ave, 2nd FloorEdison, NJ 08837-3579 · (732) 738-8801 · Fax (732) 738-8802
Phone(732) 738-8801
Fax(732) 738-8802
Organization SubpartNo
Authorized OfficialDerrick M DesilvaOwner · (732) 738-8801
Enumeration DateJanuary 28, 2016
✔ NPI 1295192706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NJ · 25MA05140000
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
629 AMBOY AVE, Edison, NJ 08837
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Derrick M Desilva Jr. M.d. Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Derrick M Desilva Jr. M.D. LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Derrick Desilva, MD
Internal Medicine
NPI 1467541755
629 AMBOY AVE
Edison, NJ 08837
(732) 738-8801
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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. M.D. LLC's NPI number?

The NPI number for Derrick M Desilva Jr. M.D. LLC is 1295192706. It was assigned to this organization in the NPPES registry on January 28, 2016.

Where is Derrick M Desilva Jr. M.D. LLC located?

Derrick M Desilva Jr. M.D. LLC is located at 629 Amboy Ave 2nd Floor, Edison, NJ 08837. The listed phone number is (732) 738-8801.

What is Derrick M Desilva Jr. M.D. LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Derrick M Desilva Jr. M.D. LLC enrolled in Medicare?

Yes. Derrick M Desilva Jr. M.D. LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Derrick M Desilva Jr. M.D. LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Derrick M Desilva Jr. M.D. LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Derrick M Desilva Jr. M.D. LLC was last updated on January 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.