OrganizationActive
Derrick M. Desilva, Jr. MD
NPI 1083923585 · Non-Pharmacy Dispensing Site · Edison, NJ
Derrick M. Desilva, Jr. MD is a Non-Pharmacy Dispensing Site organization in Edison, NJ (NPI 1083923585).
Provider details
- NPI number
- 1083923585
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Parent organization
- Derrick M. Desilva, Jr. MD
- Organization subpart
- Yes
- Authorized official
- Derrick Desilva, Medical Director(732) 738-8801
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
629 Amboy Ave
Edison, NJ 08837-3579
Phone: (732) 738-8801
Street-level locationGet directions
Mailing address
2980 N Beverly Glen Cir
Los Angeles, CA 90077-1726
Registry dates
- Enumerated
- 2010-09-30
- Last updated
- 2011-03-01
Frequently asked questions
- What is Derrick M. Desilva, Jr. MD's NPI number?
- Derrick M. Desilva, Jr. MD's National Provider Identifier (NPI) is 1083923585, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Derrick M. Desilva, Jr. MD?
- Derrick M. Desilva, Jr. MD is classified in the NPPES registry as Non-Pharmacy Dispensing Site (Suppliers).
- Where is Derrick M. Desilva, Jr. MD located?
- Derrick M. Desilva, Jr. MD's practice location on file with NPPES is 629 Amboy Ave, Edison, NJ 08837-3579.
- What is Derrick M. Desilva, Jr. MD's phone number?
- The practice phone number listed in the NPPES registry for Derrick M. Desilva, Jr. MD is (732) 738-8801.
- Who is the authorized official for Derrick M. Desilva, Jr. MD?
- The authorized official listed on Derrick M. Desilva, Jr. MD's NPPES record is Derrick Desilva, Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Derrick M. Desilva, Jr. MD's NPI active?
- Yes — Derrick M. Desilva, Jr. MD's NPI (1083923585) is active in the NPPES registry as of the last update on 2011-03-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.