Ayu Kebede, APN-C

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

26NJ00494000 Issued in NJ

Practice address

1806 Hwy 35 Ste 102
Oakhurst, NJ 07755-2766

Phone

(848) 444-1258

NPI assigned

Apr 28, 2014

Sex

Female

Sole proprietor

Yes

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ayu.kebede@direct.hackensackmeridian.org
• FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

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.

• Community Hospital Group Inc

  dba Jri Physical Medicine

  • Specialist
  • Edison, NJ
  • NPI 1225251754
  Medicare reassignment NPD
• Hackensack Meridian Health Medical Group - Specialty Care PC

  dba HMHMG Specialty Care

  • Surgical Critical Care Physician
  • Red Bank, NJ
  • NPI 1215989249
  Medicare reassignment NPD
• HMH Hospitals Corporation

  dba JFK Community Medical Group

  • Family Medicine Physician
  • Edison, NJ
  • NPI 1356016661
  Medicare reassignment NPD
• Holmdel Physician Associates

  • Hospitalist Physician
  • Freehold, NJ
  • NPI 1346647328
  Medicare reassignment NPD
• Robert Wood Johnson Medical Associates

  • Hospitalist Physician
  • New Brunswick, NJ
  • NPI 1902848625
  Medicare reassignment NPD
• Rwjbh Observation Associates LLC

  • Emergency Medicine Physician
  • Livingston, NJ
  • NPI 1760095806

  Adult Health

  Medicare reassignment NPD
• Signify Health Medical Associates of New Jersey, LLC

  • General Practice Physician
  • Princeton, NJ
  • NPI 1174187728
  Medicare reassignment NPD
• Community Hospital Group, Inc.

  dba New Jersey Neuroscience Institute

  • Neurology Physician
  • Edison, NJ
  • NPI 1487680013
  NPD
• Hackensack Meridian Health Medical Group - Specialty Care PC

  dba HMMG New Jersey Oral & Maxillofacial Surgery

  • Durable Medical Equipment & Medical Supplies
  • North Bergen, NJ
  • NPI 1215734199
  NPD
• HMH Hospitals Corporation

  dba Meds to Beds Pharmacy

  • Clinic Pharmacy
  • Hackensack, NJ
  • NPI 1659139376
  NPD
• PJS Medical Services LLC

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1497501860
  NPD
• Community Hospital Group, Inc

  dba JFK MRMC Assistant Surgeons

  • Specialist
  • Edison, NJ
  • NPI 1427278258
  NPD (past)

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

{
    "created_epoch": "1398643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1639589880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 CITATION DR",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077284658",
            "telephone_number": "973-930-1121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1806 HWY 35 STE 102",
            "city": "OAKHURST",
            "state": "NJ",
            "postal_code": "077552766",
            "telephone_number": "848-444-1258"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 koenig drive",
            "address_purpose": "LOCATION",
            "city": "parlin",
            "state": "NJ",
            "postal_code": "08859",
            "country_code": "US",
            "telephone_number": "973-930-1121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEBEDE",
        "first_name": "AYU",
        "name_prefix": "Ms.",
        "credential": "APN-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-28",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00494000",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ00494000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erik J Jodelka, PHARMD
• Husnia Kakari, PHARMD
• Ronald L Kamm, MD
• Sharon R Kamm, PSY.D.
• Dharmesh H Kaswala, MD
• Mary Lou Killian Searles, LCSW
• Raymond A Kim, DMD
• Stephen Cole Klepner, D.O.
• Stanislav L Kopylov, RPH
• Meryl B Krady, MA, CCC-SLP

• Gerontology Nurse Practitioner in Oakhurst, NJ
• Providers in Oakhurst, NJ by specialty
• Gerontology Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.