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General NPI Number Information
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NPI Number | 1154797686
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Entity Type | Individual
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Provider Name | RACHEAL G JOSHUA FNP-C
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Gender | Female
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Dates
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Enumeration Date | 08/19/2015
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Last Update Date | 12/31/2025
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Provider Practice Location Address
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Address Line | 242 MASON AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10305-3408
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Country | US
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Telephone | 718-226-6132
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Fax | 347-899-3401
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Provider Business Mailing Address
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Address Line | 13 OVERLAND RD
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City | EAST BRUNSWICK
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State | NJ
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Zip | 08816-4158
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Country | US
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Telephone | 347-755-0134
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 339811
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 26NJ00613400
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 406217
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License Number State | NY
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