Healthcare Provider Details

I. General information

NPI: 1770227266
Provider Name (Legal Business Name): ROSHNI KHILNANI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/21/2022
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

230 E RIDGEWOOD AVE
PARAMUS NJ
07652-4142
US

IV. Provider business mailing address

230 E RIDGEWOOD AVE
PARAMUS NJ
07652-4142
US

V. Phone/Fax

Practice location:
  • Phone: 201-497-4000
  • Fax:
Mailing address:
  • Phone: 201-497-4000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number25MA13198800
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: