Lifetime Healthchoice LLC
NPI 1073009338 · Developmental Disabilities Clinic/Center · East Orange, NJ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lifetime Healthchoice LLC is a Developmental Disabilities Clinic/Center organization in East Orange, NJ (NPI 1073009338).
Provider details
- NPI number
- 1073009338
- Entity type
- Organization
- Primary specialty
- Developmental Disabilities Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Dennis Kordie, Owner/Nurse Practitioner(973) 641-8836
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-07-10
- Last updated
- 2025-01-07
- Certified
- 2025-01-07
Frequently asked questions
- What is Lifetime Healthchoice LLC's NPI number?
- Lifetime Healthchoice LLC's National Provider Identifier (NPI) is 1073009338, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lifetime Healthchoice LLC?
- Lifetime Healthchoice LLC is classified in the NPPES registry as Developmental Disabilities Clinic/Center (Ambulatory Health Care Facilities).
- Where is Lifetime Healthchoice LLC located?
- Lifetime Healthchoice LLC's practice location on file with NPPES is 134 Evergreen Pl Ste 705, East Orange, NJ 07018-2012.
- What is Lifetime Healthchoice LLC's phone number?
- The practice phone number listed in the NPPES registry for Lifetime Healthchoice LLC is (973) 641-8836.
- Does Lifetime Healthchoice LLC accept Medicare?
- Lifetime Healthchoice LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Lifetime Healthchoice LLC?
- The authorized official listed on Lifetime Healthchoice LLC's NPPES record is Dennis Kordie, Owner/Nurse Practitioner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lifetime Healthchoice LLC's NPI active?
- Yes — Lifetime Healthchoice LLC's NPI (1073009338) is active in the NPPES registry as of the last update on 2025-01-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.