Individual provider Active NPI

Tasmin Lee Cordie, DC

  • Chiropractor
  • Morganville, NJ
National Provider Identifier
1770529075
Registry record updated Jan 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC009093 Issued in PA
Practice address
242 State Route 79 N Ste 8
Morganville, NJ 07751-2079
Phone
(732) 443-0300
Fax
(732) 526-4150
NPI assigned
Jun 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC009093 PA Primary

Addresses

Primary practice location

242 State Route 79 N Ste 8
Morganville, NJ 07751-2079

Mailing address

242 State Route 79 N Ste 8
Morganville, NJ 07751-2079
Phone (732) 443-0300

Other identifiers 2

IdentifierTypeStateIssuer
1524652OtherPAHIGHMARK
100902965-0001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190213000021 NJ Practitioner - Chiropractic 3173425725 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2002
Medicare assignment
May accept Medicare assignment
Group practices
Upper Cervical Chiropractic of Monmouth, LLCGroup PAC ID 8527183110, 4 clinicians

Practice addresses (Care Compare)

242 State Route 79 N
Suite 8
Morganville, NJ 07751-2079
Phone (732) 443-0300

280 US Hwy 9
Morganville, NJ 07751-1572
Phone (732) 617-9355

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC009093PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Sage Nutrition and Healing Center Corporation Chiropractor CurrentSince May 1, 2021 Accepting new patients
Upper Cervical Chiropractic of Monmouth, LLC Chiropractor CurrentSince Jul 29, 2019 Accepting new patients
Cordie Chiropractic Chiropractor PastSince Sep 2, 2003 Accepting new patients
Nash Chiropractic Healthcare Chiropractor PastSince Jun 11, 2023 Accepting new patients

Locations

3681 US Highway 9
Freehold, NJ 07728
Phone (732) 780-7180

242 State Route 79 N
Ste 8
Morganville, NJ 07751
Phone (732) 443-0300

280 US Highway 9
Morganville, NJ 07751
Phone (732) 387-5750

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.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642291200000",
    "number": "1770529075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 STATE ROUTE 79 N STE 8",
            "city": "MORGANVILLE",
            "state": "NJ",
            "postal_code": "077512079",
            "telephone_number": "732-443-0300",
            "fax_number": "732-526-4150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 STATE ROUTE 79 N STE 8",
            "city": "MORGANVILLE",
            "state": "NJ",
            "postal_code": "077512079",
            "telephone_number": "732-443-0300",
            "fax_number": "732-526-4150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDIE",
        "first_name": "TASMIN",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2022-01-16",
        "certification_date": "2022-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "1524652",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100902965-0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morganville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.