Individual provider Active NPI

Jeliah N Akombe, NURSE PRACTITIONER

  • Wound Care Registered Nurse
  • Piscataway, NJ
National Provider Identifier
1356711550
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Wound Care Registered NurseTaxonomy code 163WW0000X
License
26NJ00582200 Issued in NJ
Practice address
6 Briarwood CT
Piscataway, NJ 08854-1803
Phone
(732) 527-5519
NPI assigned
Sep 30, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Wound Care Registered Nurse 163WW0000X 26NJ00582200 NJ Primary
Nurse Practitioner 363L00000X 26NJ00582200 NJ

Addresses

Primary practice location

6 Briarwood CT
Piscataway, NJ 08854-1803

Mailing address

6 Briarwood CT
Piscataway, NJ 08854-1803
Phone (732) 527-5519

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, MD, DC, DE4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20170220001737 NJ Practitioner - Nurse Practitioner 9032492996 Reassigns benefits to 3 organizations
I20250304003981 MD Practitioner - Nurse Practitioner 9032492996 Reassigns benefits to 1 organization
I20250304004017 DC Practitioner - Nurse Practitioner 9032492996 Reassigns benefits to 1 organization
I20250304004043 DE Practitioner - Nurse Practitioner 9032492996 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Serenity Healthcare Associates LLCGroup PAC ID 1951761055, 2 clinicians
Community Primary Care PCGroup PAC ID 5991098493, 5 clinicians

Practice addresses (Care Compare)

Wilmington, DE 19801
Phone (908) 731-5222

Washington, DC 20002
Phone (908) 731-5222

Baltimore, MD 21202
Phone (908) 731-5222

377 Jersey Ave
Suite 590
Jersey City, NJ 07302-4691
Phone (201) 744-9306

6 Briarwood CT
Piscataway, NJ 08854-1803
Phone (908) 731-5222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ00582200NJMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity Healthcare Associates LLC Wound Care CurrentSince Jul 22, 2022 Accepting new patients
Community Primary Care, PC CurrentSince May 27, 2025 Accepting new patients
Minuteclinic Diagnostic of New Jersey LLC Family CurrentSince Jan 24, 2022 Accepting new patients

Locations

712 H St NE
Ste 1502
Washington, DC 20002
Phone (908) 731-5222

800 N King St
Ste 304
Wilmington, DE 19801
Phone (305) 482-1494

822 Guilford Ave
#1388
Baltimore, MD 21202
Phone (908) 731-5222

471 Main St
Chatham, NJ 07928
Phone (973) 635-4636

377 Jersey Ave
Ste 590
Jersey City, NJ 07302
Phone (201) 744-9306

4 Ryan Rd
Marlboro, NJ 07746
Phone (732) 431-8700

307 Egg Harbor Rd
Sewell, NJ 08080
Phone (856) 589-1177

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GFFCDD

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1443571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1356711550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 BRIARWOOD CT",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088541803",
            "telephone_number": "732-527-5519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 BRIARWOOD CT",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088541803",
            "telephone_number": "732-527-5519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKOMBE",
        "first_name": "JELIAH",
        "middle_name": "N",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-30",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "NJ",
            "license": "26NJ00582200",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00582200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Piscataway, NJ

Sources for this page

Verify at the official NPI Registry.