Healthcare Provider Details

I. General information

NPI: 1740710334
Provider Name (Legal Business Name): KHUSHBU JOSHI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/15/2017
Last Update Date: 12/25/2025
Certification Date: 12/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

123 TOWN SQUARE PL STE 657
JERSEY CITY NJ
07310-1756
US

IV. Provider business mailing address

123 TOWN SQUARE PL STE 657
JERSEY CITY NJ
07310-1756
US

V. Phone/Fax

Practice location:
  • Phone: 201-275-1277
  • Fax: 732-353-2325
Mailing address:
  • Phone: 201-275-1277
  • Fax: 732-353-2325

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD478198
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number25MA11644100
License Number StateNJ
# 3
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number25MA11644100
License Number StateNJ
# 4
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberMD19275
License Number StateRI
# 5
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number25MA11644100
License Number StateNJ
# 6
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number334197-01
License Number StateNY
# 7
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD19275
License Number StateRI
# 8
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD478198
License Number StatePA
# 9
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number72877
License Number StateCT
# 10
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number334197-01
License Number StateNY
# 11
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberMD478198
License Number StatePA
# 12
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number72877
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: