Healthcare Provider Details

I. General information

NPI: 1639817331
Provider Name (Legal Business Name): GRISHMA POKHAREL M.D. (MBBS)
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/23/2022
Last Update Date: 11/26/2025
Certification Date: 11/26/2025
Deactivation Date: 02/20/2023
Reactivation Date: 03/23/2023

III. Provider practice location address

350 ENGLE ST.
ENGLEWOOD NJ
07631
US

IV. Provider business mailing address

APT 534 ONE WILLIAM STREET ENGLEWOOD NJ 07631
ENGLEWOOD NJ
07631
US

V. Phone/Fax

Practice location:
  • Phone: 201-894-3000
  • Fax:
Mailing address:
  • Phone: 551-999-2939
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number60383
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: