Individual provider Active NPI

Kesha Eden Cheron

  • Psychiatric/Mental Health Nurse Practitioner
  • East Windsor, NJ
National Provider Identifier
1720557184
Registry record updated Dec 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJJ00851700 Issued in NJ
Practice address
440 US Highway 130 Ste 11
East Windsor, NJ 08520-2788
Phone
(609) 913-2969
NPI assigned
Nov 15, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 403860 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJJ00851700 NJ Primary
Nurse Practitioner 363L00000X 26NJ00851700 NJ
Adult Health Nurse Practitioner 363LA2200X 308957 NY

Addresses

Primary practice location

440 US Highway 130 Ste 11
East Windsor, NJ 08520-2788

Mailing address

110 Bradford Ave
Linden, NJ 07036-6311
Phone (973) 393-0551

Other practice location 1

653 W Edgar Rd # 1067
Linden, NJ 07036-6574
Phone (646) 883-8111

Other practice location 2

30 Broad St Fl 14
New York, NY 10004-2906
Phone (609) 913-2969

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20181231001078 NJ Practitioner - Nurse Practitioner 8123363793 Reassigns benefits to 3 organizations
I20220302001217 NY Practitioner - Nurse Practitioner 8123363793 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

10 Exchange Place
15TH Floor
Jersey City, NJ 07302-3974

1010 Gifford CT
Union, NJ 07083-6801

258 Clayton Ave
Monroeville, NJ 08343-2656

308 Willow Ave
Hoboken, NJ 07030-3808

3920 Creekview
Temple, TX 76504-2110

43 S Ridge CT
Ridgefield, CT 06877-5420

550 Sylvan Ave
Suite 206
Englewood Cliffs, NJ 07632-3122

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
308957NYMDAdult Health Nurse Practitioner
26NJJ00851700NJMDPsychiatric/Mental Health Nurse Practitioner
403860NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Garden State Healthcare Associates, LLC CurrentSince Jan 7, 2019 Accepting new patients
Mind Your Mind CurrentSince Apr 21, 2022 Accepting new patients
Brightmindsmd LLC CurrentSince Aug 1, 2023 Accepting new patients
Aldad Medical PC CurrentSince Feb 1, 2022 Accepting new patients
Humc Opco LLC Current Accepting new patients
Pathway to Mentality Past Accepting new patients
Together We Can Health and Wellness PastSince Jan 2, 2022 Accepting new patients

Locations

11 Commerce Dr
Cranford, NJ 07016
Phone (908) 336-1187

11 Commerce Dr
Lbby
Cranford, NJ 07016
Phone (908) 336-1187

308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574

176 Palisade Ave
Jersey City, NJ 07306
Phone (201) 795-8200

1044 US Highway 22
Ste 1
Mountainside, NJ 07092
Phone (908) 386-5517

2083 Klockner Rd
Trenton, NJ 08690
Phone (609) 222-4902

41 Flatbush Ave
Ste 2
Brooklyn, NY 11217
Phone (347) 620-6505

27111 76th Ave
North New Hyde Pk, NY 11040
Phone (718) 289-2100

510 Hempstead Tpke
Rm 203
West Hempstead, NY 11552
Phone 51650572001051

Interoperability endpoints

  • Direct secure messaging: kesha.cheron@direct.hobokenumc.md

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1542240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766707200000",
    "number": "1720557184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 BRADFORD AVE",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "070366311",
            "telephone_number": "973-393-0551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 US HIGHWAY 130 STE 11",
            "city": "EAST WINDSOR",
            "state": "NJ",
            "postal_code": "085202788",
            "telephone_number": "609-913-2969"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "653 W Edgar Rd # 1067",
            "address_purpose": "LOCATION",
            "city": "Linden",
            "state": "NJ",
            "postal_code": "070366574",
            "country_code": "US",
            "telephone_number": "646-883-8111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30 Broad St Fl 14",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100042906",
            "country_code": "US",
            "telephone_number": "609-913-2969",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHERON",
        "first_name": "KESHA",
        "middle_name": "EDEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-15",
        "last_updated": "2025-12-26",
        "certification_date": "2025-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "403860",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJJ00851700",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00851700",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "308957",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Windsor, NJ

Sources for this page

Verify at the official NPI Registry.