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

Anish Desai, MD

Individual provider Pulmonary Disease Physician · NPI 1093050007

Anish Desai, MD is a Pulmonary Disease in Port Jefferson Station, New York. Qualified in 2009, 17 years ago. Practices with Stony Brook Internists University Faculty Practice Corporation, a 428-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
17
Licensed in
NY
In the registry since
2012
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1500 Route 112 Ste B
Port Jefferson Station, NY 11776-8054
Phone: (631) 978-7633
Fax: (631) 621-4119
Show map & directions

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

Additional practice locations (1)

  • 200 Motor Pkwy Ste C-16, Hauppauge, NY 11788-5114 — (631) 978-7633

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X · Licence 280824 (NY)

Record details

NPI number1093050007
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 2, 2012
Last updated in NPPESApril 29, 2022
Certification dateApril 29, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPULMONARY DISEASE
Also practisesCRITICAL CARE (INTENSIVISTS), INTERNAL MEDICINE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Stony Brook Internists University Faculty Practice Corporation — 428 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Port Jefferson Station