Individual provider Active NPI

Lori Korsakoff, APN

  • Adult Health Nurse Practitioner
  • Jersey City, NJ
National Provider Identifier
1598128795
Registry record updated Apr 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NJ00626800 Issued in NJ
Practice address
88 Morgan Street
Apartment 401
Jersey City, NJ 07302
Phone
(201) 317-8561
NPI assigned
Apr 4, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 26NJ00626800 NJ Primary
Gerontology Nurse Practitioner 363LG0600X 26NJ00626800 NJ

Addresses

Primary practice location

88 Morgan Street
Apartment 401
Jersey City, NJ 07302

Mailing address

88 Morgan Street
Apartment 401
Jersey City, NJ 07302
Phone (201) 317-8561

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
I20210303000330 NJ Practitioner - Nurse Practitioner 2961818794 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hackensack Meridian Health Medical Group - Primary Care PCGroup PAC ID 7911003330, 364 clinicians

Practice addresses (Care Compare)

1900 Union Valley Rd
Suite 202
Hewitt, NJ 07421-3024
Phone (973) 706-8535

300 Perrine Rd
Suite 324
Old Bridge, NJ 08857-3628
Phone (732) 753-9890

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ00626800NJMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Highlander Health LLC CurrentSince Feb 1, 2021 Accepting new patients
Chester Medical Associates a Professional Association CurrentSince Apr 24, 2023 Accepting new patients
Hackensack Meridian Health Medical Group - Primary Care PC CurrentSince May 1, 2024 Accepting new patients
Meridian Medical Group - Specialty Care, PC Past Accepting new patients

Locations

985 Cedar Bridge Ave
Brick, NJ 08723
Phone (732) 477-5600

385 State Route 24
Ste 1C
Chester, NJ 07930
Phone (908) 879-6277

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

1900 Union Valley Rd
Ste 303
Hewitt, NJ 07421
Phone (973) 473-5700

300 Perrine Rd
Ste 324
Old Bridge, NJ 08857
Phone (732) 753-9890

Interoperability endpoints

  • FHIR API: https://mepic.hmhn.org/fhir/api/FHIR/R4/

Organizations & group practices 4

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": "1459728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459728000000",
    "number": "1598128795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 MORGAN STREET",
            "address_2": "APARTMENT 401",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "07302",
            "telephone_number": "201-317-8561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 MORGAN STREET",
            "address_2": "APARTMENT 401",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "07302",
            "telephone_number": "201-317-8561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORSAKOFF",
        "first_name": "LORI",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-04",
        "last_updated": "2016-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00626800",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ00626800",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

Verify at the official NPI Registry.