Healthcare Provider Details

I. General information

NPI: 1124261375
Provider Name (Legal Business Name): JOSHUA MALI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/16/2009
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6B MINNEAKONING RD
FLEMINGTON NJ
08822-5760
US

IV. Provider business mailing address

6B MINNEAKONING RD
FLEMINGTON NJ
08822-5799
US

V. Phone/Fax

Practice location:
  • Phone: 908-824-7144
  • Fax: 908-968-3239
Mailing address:
  • Phone: 908-824-7144
  • Fax: 908-968-3239

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207WX0107X
TaxonomyRetina Specialist (Ophthalmology) Physician
License Number25MA12100100
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code207WX0107X
TaxonomyRetina Specialist (Ophthalmology) Physician
License NumberME124007
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number25MA12100100
License Number StateNJ
# 4
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberME124007
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: