Individual provider Active NPI

John Minkah Attobrah, NP

  • Gerontology Nurse Practitioner
  • Galloway, NJ
National Provider Identifier
1871210344
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
26NJ01481000 Issued in NJ
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, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240709002419 NJ Practitioner - Nurse Practitioner 8325583834 Reassigns benefits to 2 organizations

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
Pulse Vascular LLCGroup PAC ID 7618219361, 34 clinicians

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

LicenseStateTypeSpecialty
26NJ01481000NJMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanticare Health Services Inc. CurrentSince May 1, 2024 Accepting new patients
Atlanticare Health Services, Inc. Current Accepting new patients
Pulse Vascular, LLC CurrentSince Dec 8, 2025 Accepting new patients
Atlanticare Health Services, Inc. CurrentSince May 1, 2024 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.

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

Sources for this page

Verify at the official NPI Registry.