Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Derrick M Desilva Jr MD LLC

Organization Internal Medicine Physician · NPI 1295192706

Derrick M Desilva Jr MD LLC is an Internal Medicine Physician in Edison, New Jersey. Licensed in New Jersey. Registered with an NPI since 2016.

Licensed in
NJ
In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

629 Amboy Ave 2nd Fl
Edison, NJ 08837-3579
Phone: (732) 738-8801
Fax: (732) 738-8802
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 25MA05140000 (NJ)

Record details

NPI number1295192706
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Derrick Desilva — Owner · (732) 738-8801
NPI enumeratedJanuary 28, 2016
Last updated in NPPESJanuary 28, 2016
Mailing address629 Amboy Ave, 2nd Floor, Edison, NJ 08837-3579

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