Individual provider Active NPI

Dennis Kordie

  • Family Nurse Practitioner
  • East Orange, NJ
National Provider Identifier
1447640362
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00541900 Issued in NJ
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

Updated by the provider on Jan 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150326001702 NJ Practitioner - Nurse Practitioner 5092032243 Reassigns benefits to 8 organizations

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
Plover Inpatient Services LLCGroup PAC ID 1355561663, 158 clinicians
Rwjbh Emergency Medicine Associates, LLCGroup PAC ID 0941612840, 826 clinicians

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 Hospital, Newark, NJ, CCN 310002
  • Hackensack Meridian Mountainside Medical Hospital, Montclair, NJ, CCN 310054

Merit-based Incentive Payment System (MIPS)

Final score
87.07 of 100Reported as group
Quality
76.5
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ00541900NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Newark Beth Israel Medical Center Inc CurrentSince Jul 22, 2017 Accepting new patients
Newark Beth Israel Medical Center Inc CurrentSince Jul 22, 2017 Accepting new patients
Plover Inpatient Services LLC CurrentSince Dec 1, 2024 Accepting new patients
Rwjbh Emergency Medicine Associates, LLC Family CurrentSince Nov 30, 2020 Accepting new patients
Emergency Physician Associates of North Jersey P C CurrentSince Aug 1, 2019 Accepting new patients
Lifetime Healthchoice LLC CurrentSince Apr 1, 2019 Accepting new patients
Fastmed of NJ LLC CurrentSince Nov 7, 2015 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

  • Direct secure messaging: dkordie1333337@ahs.direct-ci.com
  • FHIR API: https://api.platform.athenahealth.com/9740/brand/1/csg/1/fhir/r4
  • FHIR API: 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.