Healthcare Provider Details

I. General information

NPI: 1548127830
Provider Name (Legal Business Name): KHUSHBU D PATEL APN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

865 STONE ST
RAHWAY NJ
07065-2742
US

IV. Provider business mailing address

55 DELLWOOD RD
EDISON NJ
08820-3815
US

V. Phone/Fax

Practice location:
  • Phone: 732-381-4200
  • Fax:
Mailing address:
  • Phone: 630-518-0519
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number26NJ15502900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: