Serenity Healthcare Associates LLC
NPI 1477274702ActiveOrganization· Registered Nurse, Wound Care· Piscataway, NJ
Registered Nurse, Wound Care in Piscataway, New Jersey, registered in NPPES in September 2022. The authorized official on file is Jeliah Akombe, DNP, Manager. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1477274702 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 6, 2022 |
| Last updated in NPPES | Jun 20, 2024 |
| Certified by provider | Jun 20, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Registered Nurse, Wound Care Primary | 163WW0000X | — | — |
| Internal Medicine | 207R00000X | — | — |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CT); Part B Supplier - Clinic/Group Practice (DC); Part B Supplier - Clinic/Group Practice (DE); Part B Supplier - Clinic/Group Practice (MD); Part B Supplier - Clinic/Group Practice (NJ); Part B Supplier - Clinic/Group Practice (NY) |
|---|
Other Registered Nurse, Wound Care providers in Piscataway
- 1356711550
- 1720919913