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DR. SUNIL B DESAI D.M.D.
NPI 1942363957
Dentist in Clifton, NJ

Active since December 19, 2006PECOS Enrolled
4 PETERSON CT, CLIFTON, NJ 07013(973) 773-7340 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Sunil B Desai D.m.d. NPPES

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

DR. SUNIL B DESAI D.M.D. (NPI 1942363957) is an individual dentist in Clifton, New Jersey, licensed in New Jersey (21025) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942363957
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. SUNIL B DESAICredential: D.M.D.
Location Address4 PETERSON CTClifton, NJ 07013-3950
Mailing Address4 Peterson CtClifton, NJ 07013-3950 · (973) 773-7340
Phone(973) 773-7340
Sole ProprietorYes
Enumeration DateDecember 19, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1942363957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses✔ Licensed in NJ · 21025✔ Licensed in NY · 048637
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
4 PETERSON CT, Clifton, NJ 07013
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Anthem Blue Cross and Blue Shield and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sunil B Desai D.m.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Sunil Desai reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Montefiore Medical Center
16 mi
Dentist
111 E 210TH ST, MMC DENTAL
Bronx, NY 10467
  • Reassigned Medicare billing, New York enrollment
  • 13 clinicians in this Medicare group
NPI 1275710519 (718) 920-4167

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07013 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Sunil Desai's NPI number?

The NPI number for Sunil Desai is 1942363957. It was assigned to this individual provider in the NPPES registry on December 19, 2006.

Where is Sunil Desai located?

Sunil Desai practices at 4 Peterson Ct, Clifton, NJ 07013. The listed phone number is (973) 773-7340.

What is Sunil Desai's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Sunil Desai enrolled in Medicare?

Yes. Sunil Desai is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sunil Desai's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sunil Desai reassigns Medicare benefits to Montefiore Medical Center (Bronx, NY). 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 Sunil Desai's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sunil Desai accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 6 other insurers list Sunil Desai as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sunil Desai was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.