Individual provider Active NPI

Kesha Hermina Tege, APN, FNP-BC

  • Nurse Practitioner
  • Plainsboro, NJ
National Provider Identifier
1457970212
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ14856000 Issued in NJ
Practice address
5 Plainsboro Rd Ste 300
Plainsboro, NJ 08536-1915
Phone
(609) 853-7272
Fax
(609) 853-7271
NPI assigned
Apr 13, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Nurse Practitioner 363L00000X 26NJ14856000 NJ Primary

Addresses

Primary practice location

5 Plainsboro Rd Ste 300
Plainsboro, NJ 08536-1915

Mailing address

5 Plainsboro Rd Ste 300
Plainsboro, NJ 08536-1915
Phone (609) 853-7272

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20231023002859 NJ Practitioner - Nurse Practitioner 7810343126 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Urgent Care Physicians of New Jersey LLCGroup PAC ID 1658674585, 96 clinicians

Practice addresses (Care Compare)

319 US Hwy 130
East Windsor, NJ 08520-2735
Phone (609) 426-4300

5 Plainsboro Rd
Plainsboro, NJ 08536-1915
Phone (609) 853-7272

905 Herrontown Rd
Princeton, NJ 08540-1901
Phone (609) 497-3300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ14856000NJMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Health Care Associates of New Jersey, P.C. CurrentSince Oct 1, 2023 Accepting new patients
Princeton Healthcare Provider Group LLC CurrentSince Dec 20, 2023 Accepting new patients
Clinical Health Care Associates of New Jersey, PC CurrentSince Oct 1, 2023 Accepting new patients
Princeton Healthcare Provider Group LLC CurrentSince Dec 20, 2023 Accepting new patients
Princeton Healthcare Provider Group LLC Current Accepting new patients

Locations

993 Lenox Dr
Ste 207
Lawrenceville, NJ 08648

350 Forsgate Dr
Ste 103
Monroe Twp, NJ 08831
Phone (609) 831-0779

5 Plainsboro Rd
Ste 300
Plainsboro, NJ 08536

1 Plainsboro Rd
Plainsboro, NJ 08536
Phone (609) 853-7000

905 Herrontown Rd
Princeton, NJ 08540
Phone (609) 497-3300

1006 Mantua Pike
Woodbury Hts, NJ 08097
Phone (856) 845-6880

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1586736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1457970212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 PLAINSBORO RD STE 300",
            "city": "PLAINSBORO",
            "state": "NJ",
            "postal_code": "085361915",
            "telephone_number": "609-853-7272",
            "fax_number": "609-853-7271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 PLAINSBORO RD STE 300",
            "city": "PLAINSBORO",
            "state": "NJ",
            "postal_code": "085361915",
            "telephone_number": "609-853-7272",
            "fax_number": "609-853-7271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEGE",
        "first_name": "KESHA",
        "middle_name": "HERMINA",
        "credential": "APN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-13",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ14856000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainsboro, NJ

Sources for this page

Verify at the official NPI Registry.