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NICHOLAS DESISTO
NPI 1487319158
Counselor - Professional in Eatontown, NJ

Active since November 07, 2021PECOS EnrolledAccepts Medicare Assignment
615 HOPE RD STE 3B, EATONTOWN, NJ 07724(732) 724-1234 Get Directions Write a Review

NPPES record last updated: November 7, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Nicholas Desisto NPPES

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

NICHOLAS DESISTO (NPI 1487319158) is an individual professional provider in Eatontown, New Jersey and active in the NPI registry since November 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in East Brunswick, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1487319158
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameNICHOLAS DESISTO
Location Address615 HOPE RD STE 3BEatontown, NJ 07724-1273
Mailing Address21 Alessio TerHamilton, NJ 08620-9772 · (609) 477-8557
Phone(732) 724-1234
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateNovember 7, 2021
NPPES CertifiedNovember 7, 2021
✔ NPI 1487319158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
615 HOPE RD STE 3B, Eatontown, NJ 07724
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Secondary Practice Location 1

Location 16 Cornwall Ct Ste BEast Brunswick, NJ 08816-3347 · Phone (732) 955-4141

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicholas Desisto is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2567952740
PECOS Enrollment IDI20251106001258
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Nicholas Desisto reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Premier Mental & Behavioral Services, Inc
Same address
Mental Health (Including Community Mental Health Center)
615 HOPE RD STE 3B
Eatontown, NJ 07724
  • Reassigned Medicare billing, New Jersey enrollment
  • 15 clinicians in this Medicare group
NPI 1114599305 (732) 735-4256

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

Other Providers at the Same Location NPPES 20

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

ASHLEY MENICHINI
Social Worker
615 HOPE RD STE 3B
EATONTOWN, NJ 07724
Monmouth County (732) 724-1234
PREMIER MENTAL & BEHAVIORAL SERVICES, INC
Clinic/Center (Mental Health (Including Community Mental Health Center))
615 HOPE RD STE 3B
EATONTOWN, NJ 07724
Monmouth County (732) 735-4256
KELSEY SCALFARO LSW
Social Worker (Clinical)
615 HOPE RD STE 3B
EATONTOWN, NJ 07724
Monmouth County (732) 724-1234
BRIAN FREDA
Counselor (Mental Health)
615 HOPE RD STE 3B
EATONTOWN, NJ 07724
Monmouth County (732) 724-1234
MATTHEW DALTON CRONIN LAC
Counselor (Mental Health)
615 HOPE RD STE 3B
EATONTOWN, NJ 07724
Monmouth County (732) 724-1234
DAVID FREDA
Counselor (Mental Health)
615 HOPE RD STE 3B
EATONTOWN, NJ 07724
Monmouth County (732) 724-1234
SHANNON MARIE CAHILL LAC
Counselor (Professional)
615 HOPE RD STE 3B
EATONTOWN, NJ 07724
Monmouth County (732) 724-1234
KIMBERLY ANN MENCK LAC
Counselor (Mental Health)
615 HOPE RD STE 3B
EATONTOWN, NJ 07724
Monmouth County (732) 724-1234

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 Nicholas Desisto's NPI number?

The NPI number for Nicholas Desisto is 1487319158. It was assigned to this individual provider in the NPPES registry on November 7, 2021.

Where is Nicholas Desisto located?

Nicholas Desisto practices at 615 Hope Rd Ste 3B, Eatontown, NJ 07724. The listed phone number is (732) 724-1234.

What is Nicholas Desisto's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Nicholas Desisto enrolled in Medicare?

Yes. Nicholas Desisto is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Nicholas Desisto's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Desisto reassigns Medicare benefits to Premier Mental & Behavioral Services, Inc (Eatontown, NJ). The 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 Nicholas Desisto's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nicholas Desisto was last updated on November 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.