Individual provider Active NPI

Jane Yaa Akomeah

  • Family Nurse Practitioner
  • New York, NY
National Provider Identifier
1912618430
Registry record updated Dec 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F350389-01 Issued in NY
Practice address
177 Fort Washington Ave
New York, NY 10032-3733
Phone
(646) 305-1093
NPI assigned
Dec 6, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F350389-01 NY Primary

Addresses

Primary practice location

177 Fort Washington Ave
New York, NY 10032-3733

Mailing address

79 Alexander St Apt 1422
Yonkers, NY 10701-2994
Phone (718) 344-3156

Other practice location 1

79 Alexander St Apt 1422
Yonkers, NY 10701-2994
Phone (718) 344-3156

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20251126001422 NY Practitioner - Nurse Practitioner 5799979712 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

8390 Champions Gate Blvd
Suite 220
Champions Gate, FL 33896-8310

967 N Broadway
Yonkers, NY 10701-1301

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F350389-01NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
SJR Medical, PC Family CurrentSince Oct 6, 2025 Accepting new patients

Locations

128 Ashford Ave
Fl 2
Dobbs Ferry, NY 10522
Phone (914) 693-6500

1019 Yonkers Ave
Yonkers, NY 10704
Phone (612) 644-9447

1022 N Broadway
Yonkers, NY 10701
Phone (914) 963-0284

1088 N Broadway
Yonkers, NY 10701
Phone (914) 964-4965

967 N Broadway
Yonkers, NY 10701
Phone (914) 798-8956

Interoperability endpoints

  • Direct secure messaging: akomeah@stjohnsmedicalpc.directmedgenehr.com

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1670284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670284800000",
    "number": "1912618430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 ALEXANDER ST APT 1422",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107012994",
            "telephone_number": "718-344-3156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 FORT WASHINGTON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323733",
            "telephone_number": "646-305-1093"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "79 Alexander St Apt 1422",
            "address_purpose": "LOCATION",
            "city": "Yonkers",
            "state": "NY",
            "postal_code": "107012994",
            "country_code": "US",
            "telephone_number": "718-344-3156",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AKOMEAH",
        "first_name": "JANE",
        "middle_name": "YAA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-06",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F350389-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.