Active NPIIndividual provider

Rupa M Khandwala, PA

Physician Assistant in Old Bridge, New Jersey

NPI Number1275704926
Practice location
15 Route 516, Old Bridge, NJ 08857-1402
Fax
—
Last updated
June 23, 2026

Rupa Mahendra Khandwala is a Physician Assistant based in Old Bridge, NJ. Rupa Mahendra Khandwala practices in Old Bridge, NJ and has the professional credentials of PA. The NPI Number for Rupa Mahendra Khandwala is 1275704926 and holds a License No. 25MP00195800 (NJ). The current practice location address for Rupa Mahendra Khandwala is 15 Route 516, Old Bridge, NJ 08857-1402 and can be reached out via phone at 973-865-6577.

Provider Profile Details

NPI Number
1275704926
Provider Name
Rupa Mahendra Khandwala
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
15 Route 516, Old Bridge, NJ 08857-1402
Phone Number
973-865-6577
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
March 20, 2008
Last Update Date
June 23, 2026
Certification Date
June 23, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
15 Route 516
Old Bridge, NJ 08857-1402
Zip
08857-1402
Phone Number
973-865-6577
Old Bridge, NJ 08857Get directions →

Provider Business Mailing Address Details

Address
15 Raintree CT
Holmdel, NJ 07733-2814
City
Holmdel
State
NJ
Zip
07733-2814
Phone Number
732-887-5598

License Information

License Number (1)
25MP00195800
License State (1)
NJ
Taxonomy (1)
Physician Assistant, Medical · 363AM0700X
License Number (2)
013812
License State (2)
NY
Taxonomy (2)
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Rupa M Khandwala, PA?

The NPI number of Rupa M Khandwala, PA is 1275704926. It was assigned on March 20, 2008 and is currently active in the NPPES registry.

What is the specialty of Rupa M Khandwala, PA?

Rupa M Khandwala, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00195800.

Where does Rupa M Khandwala, PA practice?

The practice location is 15 Route 516, Old Bridge, NJ 08857-1402. The office can be reached at 973-865-6577 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1275704926 directly on the NPPES registry website.

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