Healthcare Provider Details

I. General information

NPI: 1548025729
Provider Name (Legal Business Name): WENDY AKOH-BREFO NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MISS WENDY AKOH

II. Dates (important events)

Enumeration Date: 02/16/2024
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

485C US HIGHWAY 1 S STE 100-101
ISELIN NJ
08830-3037
US

IV. Provider business mailing address

44 SERGEANTSVILLE RD
FLEMINGTON NJ
08822-1584
US

V. Phone/Fax

Practice location:
  • Phone: 732-447-9470
  • Fax:
Mailing address:
  • Phone: 732-491-5336
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number26NJ15309500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: