Khushboo Vagisha, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI02811500 Issued in NJ

Practice address

1312 Centennial Ave Ste 11
Piscataway, NJ 08854-4324

Phone

(732) 981-1777

NPI assigned

Jul 30, 2021

Last updated

Jul 30, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1627603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627603200000",
    "number": "1235802604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 ALLEGHENY DR",
            "city": "BASKING RIDGE",
            "state": "NJ",
            "postal_code": "079204203",
            "telephone_number": "413-362-2751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1312 CENTENNIAL AVE STE 11",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088544324",
            "telephone_number": "732-981-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAGISHA",
        "first_name": "KHUSHBOO",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-30",
        "last_updated": "2021-07-30",
        "certification_date": "2021-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02811500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anu Upadhyay, MD
• Jessica Urrutia
• William Ussery, LPC
• Amanda A Uzzell, PA-C
• Melissa Vaccari
• Monika Starr Vakulchik, M.ED., M.S. CCC-SLP
• Elvin Vallejo, LPC
• Ruby Valles, MSW
• Sean Valverde
• Katelyn Van Aman, DPT

• General Practice Dentistry in Piscataway, NJ
• Providers in Piscataway, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2021; 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.