Khushali Ram

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

22DI02885200 Issued in NJ

Practice address

2140 Voorhees Town Ctr
Voorhees, NJ 08043-1911

Phone

(856) 770-1770

NPI assigned

May 9, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kghetia396869@direct.ynhh.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Growing Smiles of Voorhees

  • Dental Clinic/Center
  • Voorhees, NJ
  • NPI 1275951030
  NPD (past)
• Rock Hill Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Cherry Hill, NJ
  • NPI 1285473322
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1525824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1073002697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 LARK DR",
            "city": "SOUTH RIVER",
            "state": "NJ",
            "postal_code": "088822608",
            "telephone_number": "732-910-3882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 VOORHEES TOWN CTR",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080431911",
            "telephone_number": "856-770-1770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAM",
        "first_name": "KHUSHALI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-09",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "PA",
            "license": "DS042624",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NJ",
            "license": "22DI02885200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• R-Health Primary Care Medical Home LLC
• Rebecca Rabena, RD
• Srilatha Rachan, M.D
• Olivia Radcliff
• Kumar Rajagopalan, MD
• Milagros D Ramirez, M.D.
• Waneta Ann Ramlall, FNP
• Teresa I Ramos-Gonzalez, LCSW
• Gretchen Ramos, MA CCC-SLP
• Vanessa Ramos

• Pediatric Dentistry in Voorhees, NJ
• Providers in Voorhees, NJ by specialty
• Pediatric Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.