Tristian's Journey Corporation

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Legal business name

TRISTIAN'S JOURNEY CORPORATION

Practice address

5000 Riverside Station Blvd # 5460
Secaucus, NJ 07094-4400

Phone

(888) 717-2932

NPI assigned

May 11, 2026

Last updated

May 11, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tracey Jackson, MS EDUCATION ADMINISNPI 1356279327

Title

Ceo

Phone

(888) 717-2932

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tracey Jackson

  • Case Manager/Care Coordinator
  • Secaucus, NJ
  • NPI 1356279327
  NPD Authorized official

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

{
    "created_epoch": "1778457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778457600000",
    "number": "1316875305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 RIVERSIDE STATION BLVD # 5460",
            "city": "SECAUCUS",
            "state": "NJ",
            "postal_code": "070944400",
            "telephone_number": "888-717-2932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 RIVERSIDE STATION BLVD # 5460",
            "city": "SECAUCUS",
            "state": "NJ",
            "postal_code": "070944400",
            "telephone_number": "888-717-2932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRISTIAN'S JOURNEY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-11",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "888-717-2932",
        "authorized_official_credential": "MS EDUCATION ADMINIS"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Manager/Care Coordinator in Secaucus, NJ
• Providers in Secaucus, NJ by specialty
• Case Manager/Care Coordinator in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.