Provider Demographics
NPI:1447221205
Name:JOSHI, JYOTIKA D (MD)
Entity Type:Individual
Prefix:
First Name:JYOTIKA
Middle Name:D
Last Name:JOSHI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3499 ROUTE 9 N
Mailing Address - Street 2:
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-3258
Mailing Address - Country:US
Mailing Address - Phone:732-577-1199
Mailing Address - Fax:732-577-8922
Practice Address - Street 1:3499 ROUTE 9 N
Practice Address - Street 2:
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-3258
Practice Address - Country:US
Practice Address - Phone:732-577-1199
Practice Address - Fax:732-577-8922
Is Sole Proprietor?:No
Enumeration Date:2006-01-30
Last Update Date:2010-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA43504207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ3233901Medicaid
NJ439576UUGMedicare PIN
NJC54420Medicare UPIN