Healthcare Provider Details

I. General information

NPI: 1477257129
Provider Name (Legal Business Name): JANKI MAJITHIA DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2023
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 RIVERVIEW PLAZA, RED BANK, NJ 07701
RED BANK NJ
07701
US

IV. Provider business mailing address

1 RIVERVIEW PLZ
RED BANK NJ
07701-1864
US

V. Phone/Fax

Practice location:
  • Phone: 732-741-2700
  • Fax:
Mailing address:
  • Phone:
  • 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 State
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number125082817
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number036.177791
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: