Healthcare Provider Details

I. General information

NPI: 1033744149
Provider Name (Legal Business Name): SAMERA AKEL APN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SAMIRA AKEL APN

II. Dates (important events)

Enumeration Date: 03/09/2020
Last Update Date: 03/04/2026
Certification Date: 03/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 PROSPECT AVE
HACKENSACK NJ
07601-1915
US

IV. Provider business mailing address

331 NEWMAN SPRINGS RD STE 220
RED BANK NJ
07701-5792
US

V. Phone/Fax

Practice location:
  • Phone: 551-996-8100
  • Fax: 551-996-4140
Mailing address:
  • Phone: 732-807-0877
  • Fax: 201-751-1680

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number26NR100066
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number26NJ01029800
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: