MEDICARE: MR. BHARGAV VIJAYKUMAR DESAI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist		NJ

General Provider Information

NPI Number	:	1932881638
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. BHARGAV VIJAYKUMAR DESAI

Provider Business Mailing Address
First Line	:	104 HICKORY CORNER RD STE 205
Second Line	:
City	:	EAST WINDSOR
State	:	NJ
Zip	:	08520-2460
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	104 HICKORY CORNER RD STE 205
Second Line	:
City	:	EAST WINDSOR
State	:	NJ
Zip	:	08520-2460
Country	:	US
Telephone Number	:	609-630-0508
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/02/2023
Last Update Date	:	07/05/2025

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