NPIMap

Organization Active NPI

Sage Nutrition and Healing Center Corporation

  • Family Medicine Physician
  • Morganville, NJ
National Provider Identifier
1174998660
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SAGE NUTRITION AND HEALING CENTER CORPORATION
Practice address
242 State Route 79 N Ste 8
Morganville, NJ 07751-2079
Phone
(732) 443-0300
Fax
(732) 526-4150
NPI assigned
Dec 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
Dr. Tasmin Lee Cordie, DCNPI 1770529075
Title
Owner
Phone
(324) 443-0300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 6626 CO
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Medical Specialty Clinic/Center 261QM2500X

Addresses

Primary practice location

242 State Route 79 N Ste 8
Morganville, NJ 07751-2079

Mailing address

242 State Route 79 N Ste 8
Morganville, NJ 07751-2079
Phone (732) 443-0300

Other names 1

  • Sage Nutrition and Healing Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210817000674 NJ Part B Supplier - Clinic/Group Practice 2466857347 Receives reassigned benefits from 1 practitioner
Practice locations: Morganville, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1449619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1174998660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 STATE ROUTE 79 N STE 8",
            "city": "MORGANVILLE",
            "state": "NJ",
            "postal_code": "077512079",
            "telephone_number": "732-443-0300",
            "fax_number": "732-526-4150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 STATE ROUTE 79 N STE 8",
            "city": "MORGANVILLE",
            "state": "NJ",
            "postal_code": "077512079",
            "telephone_number": "732-443-0300",
            "fax_number": "732-526-4150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGE NUTRITION AND HEALING CENTER CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-09",
        "last_updated": "2023-09-06",
        "certification_date": "2022-01-16",
        "status": "A",
        "authorized_official_last_name": "CORDIE",
        "authorized_official_first_name": "TASMIN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "324-443-0300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "6626",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sage Nutrition and Healing Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sage Nutrition and Healing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Morganville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.