NICHOLAS DESISTO – Professional Counselor, NPI 1487319158

NICHOLAS DESISTO is a healthcare provider. based in East brunswick, New Jersey. specializing in MENTAL HEALTH COUNSELOR. The NPI Number for NICHOLAS DESISTO is 1487319158

Main info

Male
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
NICHOLAS DESISTO
NPI
1487319158
Phone
(732) 955-4141
Address
6 Cornwall Ct Ste B
Enumeration Date
7 November 2021
Last Update Date
7 November 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7327241234
Graduation Year
2020 (6 years ago)
PAC ID
2567952740
Group Practice PAC ID
6305240912
Professional Enrollment ID
I20251106001258
Address ID
NJ077241273EA615XXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:4State licenses:0Digital endpointsOther names

1,093 MENTAL HEALTH COUNSELOR in NJ

Provider Addresses for NICHOLAS DESISTO

  • 6 Cornwall Ct Ste B

    East Brunswick, NJ 088163347

    Phone: (732) 955-4141

    Type: Location

  • 21 ALESSIO TER

    HAMILTON, NJ 086209772

    Phone: (609) 477-8557

    Type: Mailing

  • 615 HOPE RD STE 3B

    EATONTOWN, NJ 077241273

    Phone: (732) 724-1234

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-11-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20251106001258IMental Health CounselorNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 08816)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6305240912View full group profile
NameSpecialtyState
Clinical Social WorkerNJ
Clinical Social WorkerNJ
Nurse PractitionerNJ
Clinical Social WorkerNY
Nurse PractitionerNJ

Reviews

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Frequently asked questions

What is NICHOLAS DESISTO's NPI number?
NICHOLAS DESISTO's NPI is 1487319158 — the number used across U.S. healthcare to identify this provider.
Is there an active status for NICHOLAS DESISTO?
For scheduling context, NICHOLAS DESISTO is shown as active in the registry.
What expertise is attributed to NICHOLAS DESISTO?
NICHOLAS DESISTO's specialty line reads Professional Counselor. Clinical services aligned with this taxonomy classification.
Where in New Jersey is NICHOLAS DESISTO registered?
Use East Brunswick, New Jersey as the headline location for NICHOLAS DESISTO here.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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