Healthcare Provider Details

I. General information

NPI: 1134048408
Provider Name (Legal Business Name): NOVA PROSTHODONTICS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2186 HIGHWAY 27 STE 2B
NORTH BRUNSWICK NJ
08902-1137
US

IV. Provider business mailing address

17 FERN RD
EAST BRUNSWICK NJ
08816-3209
US

V. Phone/Fax

Practice location:
  • Phone: 732-422-7440
  • Fax: 732-422-7445
Mailing address:
  • Phone: 917-519-5947
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0700X
TaxonomyProsthodontics
License Number
License Number State

VIII. Authorized Official

Name: DR. NAINESH DESAI
Title or Position: DIRECTOR
Credential: DDS
Phone: 917-519-5947