Active NPI
John Minkah Attobrah, NP
- Gerontology Nurse Practitioner
- Galloway, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 26NJ01481000
- Practice address
- 54 W Jimmie Leeds Rd Ste 8
Galloway, NJ 08205-9438 - Phone
- (609) 407-7300
- NPI assigned
- Oct 25, 2022
- Last updated
- May 29, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 26NJ01481000 | NJ | Primary |
Addresses
Primary practice location
54 W Jimmie Leeds Rd Ste 8
Galloway, NJ 08205-9438
Mailing address
2 Turnbridge Drive
Lumberton, NJ 08048
Phone (609) 321-0889
Other practice location 1
2 Turnbridge Drive
Lumberton, NJ 08048
Phone (609) 321-0889
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
994 W Sherman Ave
Vineland, NJ 08360-6937
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ01481000 | NJ | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlanticare Health Services Inc. | Current | Accepting new patients | |
| Atlanticare Health Services, Inc. | Current | Accepting new patients | |
| Pulse Vascular, LLC | Current | Accepting new patients | |
| Atlanticare Health Services, Inc. | Current | Accepting new patients |
Locations
1401 Atlantic Ave
Ste 2500
Atlantic City, NJ 08401
Phone (609) 347-0052
1401 Atlantic Ave
Ste 2600
Atlantic City, NJ 08401
Phone (609) 441-8036
54 W Jimmie Leeds Rd
Ste 8
Galloway, NJ 08205
Phone (609) 404-7300
994 W Sherman Ave
Bldg 2
Vineland, NJ 08360
Phone (631) 534-7246
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Vascular & Interventional Radiology Physician
- Vineland, NJ
- NPI 1255899704
-
- Clinic/Center
- Atlantic City, NJ
- NPI 1215987771
-
dba AtlantiCare Mission Health Care Galloway
- Federally Qualified Health Center (FQHC)
- Galloway, NJ
- NPI 1043700495
-
- Federally Qualified Health Center (FQHC)
- Egg Harbor Township, NJ
- NPI 1407617947
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716940800000",
"number": "1871210344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 TURNBRIDGE DRIVE",
"city": "LUMBERTON",
"state": "NJ",
"postal_code": "08048",
"telephone_number": "609-321-0889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "54 W JIMMIE LEEDS RD STE 8",
"city": "GALLOWAY",
"state": "NJ",
"postal_code": "082059438",
"telephone_number": "609-407-7300"
}
],
"practiceLocations": [
{
"address_1": "2 Turnbridge Drive",
"address_purpose": "LOCATION",
"city": "Lumberton",
"state": "NJ",
"postal_code": "08048",
"country_code": "US",
"telephone_number": "609-321-0889",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ATTOBRAH",
"first_name": "JOHN",
"middle_name": "MINKAH",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-10-25",
"last_updated": "2024-05-29",
"certification_date": "2024-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "NJ",
"license": "26NJ01481000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Galloway, NJ
- Atlanticare Health Services Inc. (AtlantiCare Mission Health Care Galloway)
- Atlanticare Physician Group PA (AtlantiCare Urgent Care- Galloway Township)
- Atlanticare Physician Group, PA (AtlantiCare Urgent Care)
- Atlanticare Regional Medical Center (AtlantiCare Pharmacy at Pomona)
- Atsi Wellness Group
- Eve Atwell, PT
- Joseph Auble, PA
- Kadie Hartman Auble, FNP
- Amy F Austin, M.D.
- Asma Badar, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.