Individual provider Active NPI

Lilian Kordie

  • Psychiatric/Mental Health Nurse Practitioner
  • East Orange, NJ
National Provider Identifier
1720460108
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ00546300 Issued in NJ
Practice address
137 Evergreen PL Ste 1B
East Orange, NJ 07018-2007
Phone
(201) 407-0702
Fax
(973) 210-4430
NPI assigned
Jun 22, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00546300 NJ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ00546300 NJ Primary

Addresses

Primary practice location

137 Evergreen PL Ste 1B
East Orange, NJ 07018-2007

Mailing address

137 Evergreen PL Ste 1B
East Orange, NJ 07018-2007
Phone (201) 407-0702

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
I20150819007844 NJ Practitioner - Nurse Practitioner 1052626074 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Rutgers New Jersey Medical School, 2014
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Py Medical Services of NJ LLCGroup PAC ID 6901276922, 46 clinicians
JLS Medical PCGroup PAC ID 7719342005, 53 clinicians

Practice addresses (Care Compare)

137 Evergreen PL
Suite 1B
East Orange, NJ 07018-2007
Phone (201) 407-0702

505 County Ave
Secaucus, NJ 07094-2620
Phone (201) 526-8700

550 Broad St
Suite 606
Newark, NJ 07102-4537
Phone (201) 822-1161

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Harmony Medical Services of New Jersey LLC CurrentSince Aug 3, 2025 Accepting new patients
NJ Behavioral Health Services PC Psychiatric/Mental Health CurrentSince Dec 14, 2022 Accepting new patients
Py Medical Services of NJ LLC CurrentSince Jan 2, 2026 Accepting new patients
Harmony Medical Services of New Jersey LLC Current Accepting new patients
Mindspace Clinic Psychiatric/Mental Health CurrentSince Jan 2, 2024 Accepting new patients
JLS Medical PC Psychiatric/Mental Health CurrentSince Mar 19, 2024 Accepting new patients
Bancroft, a New Jersey Nonprofit Corporation Past Accepting new patients

Locations

137 Evergreen Pl
Ste 1B
East Orange, NJ 07018
Phone (201) 407-0702

104 Pension Rd
Manalapan, NJ 07726
Phone (732) 446-1804

28 Valley Rd
Montclair, NJ 07042
Phone (908) 451-8519

65 Jay St
Newark, NJ 07103
Phone (973) 447-8882

550 Broad St
Ste 606
Newark, NJ 07102
Phone (425) 458-8525

140 E Ridgewood Ave
Ste 415
Paramus, NJ 07652
Phone (201) 720-1900

505 County Ave
Secaucus, NJ 07094
Phone (201) 216-9500

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1434931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1720460108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 EVERGREEN PL STE 1B",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070182007",
            "telephone_number": "201-407-0702",
            "fax_number": "973-210-4430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 EVERGREEN PL STE 1B",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070182007",
            "telephone_number": "201-407-0702",
            "fax_number": "973-210-4430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORDIE",
        "first_name": "LILIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-22",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00546300",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00546300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Orange, NJ

Sources for this page

Verify at the official NPI Registry.