Kene Deneen Booker-Mahatha, REGISTERED NURSE

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

26NJ01289500 Issued in NJ

Practice address

16 Richey PL
Trenton, NJ 08618-5604

Phone

(609) 273-9211

NPI assigned

Jun 13, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1497312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1568992659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 RICHEY PL",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086185604",
            "telephone_number": "609-273-9211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 RICHEY PL",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086185604",
            "telephone_number": "609-273-9211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOKER-MAHATHA",
        "first_name": "KENE",
        "middle_name": "DENEEN",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-13",
        "last_updated": "2022-07-21",
        "certification_date": "2022-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ01289500",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR1691500",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Bobson, MD, MPH
• Muhammad S Bokhari, MD
• David Bokor, MSN, NP
• Joyce Bonney
• Rosemarie Bonomo, BCBA
• Michelle Bostic, APN
• Christopher Steven Boyette, MD
• Christine Bozicevic, LAC
• Rajmayur P Brahmbhatt, MD
• Nancy M Branch, PNP

• Psychiatric/Mental Health Nurse Practitioner in Trenton, NJ
• Providers in Trenton, 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 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.