Active NPI
Dennis Kordie
- Family Nurse Practitioner
- East Orange, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 26NJ00541900
- Practice address
- 134 Evergreen PL Ste 705
East Orange, NJ 07018-2012 - Phone
- (973) 641-8836
- Fax
- (973) 695-3795
- NPI assigned
- Jan 30, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 26NJ00541900 | NJ | Primary |
Addresses
Primary practice location
134 Evergreen PL Ste 705
East Orange, NJ 07018-2012
Mailing address
134 Evergreen PL Ste 705
East Orange, NJ 07018-2012
Phone (973) 641-8836
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Bay Ave
Montclair, NJ 07042-4837
Phone (973) 429-6000
134 Evergreen PL
Suite 705
East Orange, NJ 07018-2012
Phone (973) 221-4353
94 Old Short Hills Rd
Livingston, NJ 07039-5672
Phone (973) 322-5000
Hospital & facility affiliations
- Newark Beth Israel Medical Center
- Hackensack Meridian Mountainside Medical
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.07 of 100
- Quality
- 76.5
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ00541900 | NJ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Newark Beth Israel Medical Center Inc | Current | Accepting new patients | |
| Newark Beth Israel Medical Center Inc | Current | Accepting new patients | |
| Plover Inpatient Services LLC | Current | Accepting new patients | |
| Rwjbh Emergency Medicine Associates, LLC | Family | Current | Accepting new patients |
| Emergency Physician Associates of North Jersey P C | Current | Accepting new patients | |
| Lifetime Healthchoice LLC | Current | Accepting new patients | |
| Fastmed of NJ LLC | Current | Accepting new patients |
Locations
1 Clara Maass Dr
Belleville, NJ 07109
Phone (973) 450-2008
476 Colfax Ave
Clifton, NJ 07013
Phone (973) 594-7977
137 Evergreen Pl
East Orange, NJ 07018
Phone (917) 601-0669
300 Central Ave
East Orange, NJ 07018
Phone (973) 266-8460
137 Evergreen Pl
Ste 1B
East Orange, NJ 07018
Phone (201) 407-0702
134 Evergreen Pl
Ste 705
East Orange, NJ 07018
Phone (973) 221-4353
225 Williamson St
Elizabeth, NJ 07202
Phone (908) 994-5204
600 River Ave
Lakewood, NJ 08701
Phone (732) 363-1900
94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400
1 Bay Ave
Montclair, NJ 07042
Phone (973) 429-6100
201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455
166 Lyons Ave
Newark, NJ 07112
Phone (973) 926-7300
201 Lyons Ave
#M
Newark, NJ 07112
Phone (800) 843-2384
350 Boulevard
Passaic, NJ 07055
Phone (973) 365-4300
1140 Route 72 W
Stafford Township, NJ 08050
Phone (609) 978-2194
99 Beauvoir Ave
Summit, NJ 07901
Phone (908) 522-2232
1 Hamilton Health Pl
Trenton, NJ 08690
Phone (609) 584-6763
425 Jack Martin Blvd
Wall Township, NJ 08724
Phone (732) 840-2200
Interoperability endpoints
- dkordie1333337@ahs.direct-ci.com
- https://api.platform.athenahealth.com/9740/brand/1/csg/1/fhir/r4
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Developmental Disabilities Clinic/Center
- East Orange, NJ
- NPI 1073009338
-
- Emergency Medicine Physician
- Montclair, NJ
- NPI 1134534688
-
- Emergency Medicine Physician
- Somerset, NJ
- NPI 1912510041
Family
-
- Emergency Medicine Physician
- Summit, NJ
- NPI 1497783419
-
- Hematology & Oncology Physician
- Clifton, NJ
- NPI 1942691100
-
- General Acute Care Hospital
- Newark, NJ
- NPI 1033210323
-
- Internal Medicine Physician
- Rochelle Park, NJ
- NPI 1336625425
-
- Adult Health Nurse Practitioner
- East Orange, NJ
- NPI 1346794526
-
- Psychiatric Hospital Unit
- Newark, NJ
- NPI 1043457955
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Montclair, NJ
- NPI 1982720249
-
- General Acute Care Hospital
- Newark, NJ
- NPI 1215027966
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736208000000",
"number": "1447640362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "134 EVERGREEN PL STE 705",
"city": "EAST ORANGE",
"state": "NJ",
"postal_code": "070182012",
"telephone_number": "973-641-8836",
"fax_number": "973-695-3795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "134 EVERGREEN PL STE 705",
"city": "EAST ORANGE",
"state": "NJ",
"postal_code": "070182012",
"telephone_number": "973-641-8836",
"fax_number": "973-695-3795"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KORDIE",
"first_name": "DENNIS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-01-30",
"last_updated": "2025-01-07",
"certification_date": "2025-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NJ",
"license": "26NJ00541900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Orange, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.