George Kofa Kieh, PMHNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Runnemede, NJ
NPI 1396313680 · NPPES record last updated Jul 16, 2026
Key facts
- NPI
- 1396313680
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 26NJ01160100 (NJ)
- Practice address
- 824 N Black Horse Pike
Runnemede, NJ 08078-1034 - Phone
- (215) 839-0801
- NPI assigned
- Jun 14, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
9 Lalor St
Trenton, NJ 08611-3503
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NR01160100 | NJ | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychnic | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 26NJ01160100 | NJ | Yes |
Addresses
Primary practice location
824 N Black Horse Pike
Runnemede, NJ 08078-1034
Mailing address
292 Applegarth Rd
Monroe Township, NJ 08831-3754
Phone (609) 532-9965
Other practice location 1
292 Applegarth Rd
Monroe Township, NJ 08831-3754
Phone (609) 860-2500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 26NR01160100 | Other | NJ | FAMILY NURSE PRACTITIONER |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | SOAP | Health Information Exchange (HIE) |
Other providers in Runnemede, NJ
- Michelle Hurwitz
- Jeffrey M. Himmel
- Dora Kargbo
- David Katz
- Kelly David Kennedy
- Edward Tae Kim
- Zenaida Serrano Kirkland
- William Laplant
- Robert S. Leavy
- Liberty Dialysis-Runnemede LLC
All providers in Runnemede, NJ · Psychiatric/Mental Health Nurse Practitioner in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.