| Lilian Kordie, | |
|
137 Evergreen Pl Ste 1b, East Orange, NJ 07018-2007 | |
| (201) 407-0702 | |
| (973) 210-4430 |
| Full Name | Lilian Kordie |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 137 Evergreen Pl Ste 1b, East Orange, New Jersey |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720460108 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 26NJ00546300 (New Jersey) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 26NJ00546300 (New Jersey) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Nj Behavioral Health Services Pc | 0648288712 | 40 |
| Jls Medical Pc | 7719342005 | 24 |
| Entity Name | Nj Behavioral Health Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447289376 PECOS PAC ID: 0648288712 Enrollment ID: O20060331000030 |
| Entity Name | Jls Medical Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164007043 PECOS PAC ID: 7719342005 Enrollment ID: O20230419002320 |
| Entity Name | Mindspace Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134857642 PECOS PAC ID: 5799135596 Enrollment ID: O20231220000160 |
| Mailing Address | Practice Location Address |
|---|---|
| Lilian Kordie, 137 Evergreen Pl Ste 1b, East Orange, NJ 07018-2007 Ph: (201) 407-0702 | Lilian Kordie, 137 Evergreen Pl Ste 1b, East Orange, NJ 07018-2007 Ph: (201) 407-0702 |
Miss Hana Michele Baron, NP, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 385 Tremont Ave, East Orange, NJ 07018 Phone: 973-676-1000 | |
Mrs. Carla Francis, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 385 Tremont Ave, East Orange, NJ 07018 Phone: 973-676-1000 | |
Miss Adaugo Oriji, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 132 Halsted St, East Orange, NJ 07018 Phone: 973-674-0036 | |
Devang Patel, AGPCNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 60 Evergreen Pl, East Orange, NJ 07018 Phone: 973-395-1550 | |
Sanjaykumar Shah, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 310 Central Avenue, Suite 102, East Orange, NJ 07018 Phone: 973-395-1550 Fax: 973-395-1556 | |
Dr. Theresa Reed, DNP, APN, ENP,FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 385 Tremont Ave, East Orange, NJ 07018 Phone: 973-676-1000 Fax: 973-395-7135 | |
Ms. Janet Ellen Coley-lima, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 385 Tremont Avenue, Hbpc, Mail Code 11e-3, East Orange, NJ 07018 Phone: 973-676-1000 Fax: 973-395-7042 |