George Kofa Kieh, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

26NJ01160100 Issued in NJ

Practice address

824 N Black Horse Pike
Runnemede, NJ 08078-1034

Phone

(215) 839-0801

NPI assigned

Jun 14, 2021

Last updated

Jul 16, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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

• Psychnic

  • Psychiatric/Mental Health Nurse Practitioner
  • Trenton, NJ
  • NPI 1740119676
  NPD Authorized official

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

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1396313680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "292 APPLEGARTH RD",
            "city": "MONROE TOWNSHIP",
            "state": "NJ",
            "postal_code": "088313754",
            "telephone_number": "609-532-9965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 N BLACK HORSE PIKE",
            "city": "RUNNEMEDE",
            "state": "NJ",
            "postal_code": "080781034",
            "telephone_number": "215-839-0801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "292 Applegarth Rd",
            "address_purpose": "LOCATION",
            "city": "Monroe Township",
            "state": "NJ",
            "postal_code": "088313754",
            "country_code": "US",
            "telephone_number": "609-860-2500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIEH",
        "first_name": "GEORGE",
        "middle_name": "KOFA",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-14",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ01160100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "SOAP",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "824 N Black Horse Pike",
            "city": "Runnemede",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080781034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michelle Hurwitz, LSW
• Jeffrey M. Himmel
• Dora Kargbo
• David Katz, D.M.D.
• Kelly David Kennedy, DC
• Edward Tae Kim
• Zenaida Serrano Kirkland, LPC, LCADC
• William Laplant, M.D.
• Robert S. Leavy, RPH
• Liberty Dialysis-Runnemede LLC

• Psychiatric/Mental Health Nurse Practitioner in Runnemede, NJ
• Providers in Runnemede, NJ by specialty
• Psychiatric/Mental Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.