LILIAN KORDIE – Psychiatric/Mental Health Nurse Practitioner, NPI 1720460108

LILIAN KORDIE is a healthcare provider. based in Montclair, New Jersey. specializing in NURSE PRACTITIONER. They hold a License No. 26NJ00546300 (NJ). The NPI Number for LILIAN KORDIE is 1720460108

Main info

Female
12 Years Of Experience
Name
LILIAN KORDIE
NPI
1720460108
Phone
(201) 407-0702
Address
36 HAWTHORNE PL APT 4K
Enumeration Date
22 June 2015
Last Update Date
27 March 2025

Doctor Profile

Medical School Name
RUTGERS NEW JERSEY MEDICAL SCHOOL
Secondary Phone
2015268700
Graduation Year
2014 (12 years ago)
PAC ID
1052626074
Group Practice PAC ID
6901276922
Professional Enrollment ID
I20150819007844
Address ID
NJ070942620SE505XXAVEX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:10State licenses:1Digital endpointsOther names

7,515 NURSE PRACTITIONER in NJ

Provider Addresses for LILIAN KORDIE

  • 36 HAWTHORNE PL APT 4K

    MONTCLAIR, NJ 070423276

    Phone: (201) 407-0702

    Type: Mailing

  • 451 RIDGEDALE AVE

    EAST HANOVER, NJ 079361437

    Phone: (866) 389-2727

    Type: Location

  • 137 EVERGREEN PL STE 1B

    EAST ORANGE, NJ 070182007

    Phone: (201) 407-0702

    Fax: (973) 210-4430

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $1,156.

Total Amount is formed as General ($1,156) + Research ($0) + Ownership ($0) = $1,156.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: ABBVIE INC. ($354).

Total Amount

$1,156

General + Research + Ownership

Payments

10

Total payment records

General Amount

$1,156

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-08-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150819007844INurse PractitionerNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 07042)

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Provider's Procedures

LILIAN KORDIE performs procedures in NURSE PRACTITIONER. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONERNJ90670Pneumococcal vaccine for injection into muscle1515

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6901276922View full group profile
NameSpecialtyState
Physician AssistantCA
Nurse PractitionerNY
Nurse PractitionerNJ
Nurse PractitionerNJ
Nurse PractitionerMI
Nurse PractitionerNJ
Nurse PractitionerNJ
Nurse PractitionerNJ
Nurse PractitionerNY
Nurse PractitionerNJ

Reviews

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Frequently asked questions

Can I cross-check LILIAN KORDIE using NPI 1720460108?
NPI 1720460108 belongs to LILIAN KORDIE; compare other details if you need extra assurance.
Is LILIAN KORDIE shown as active in public data?
Registry records indicate LILIAN KORDIE maintains an active NPI.
What clinical focus is listed for LILIAN KORDIE?
At a glance, LILIAN KORDIE is tied to Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with LILIAN KORDIE?
Directory geography for LILIAN KORDIE centers on Montclair, New Jersey.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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