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LIFETIME HEALTHCHOICE LLC
NPI 1073009338
Clinic/Center - Developmental Disabilities in East Orange, NJ

Active since July 10, 2018
134 EVERGREEN PL STE 705, EAST ORANGE, NJ 07018(973) 641-8836(973) 695-3795 Get Directions Write a Review

NPPES record last updated: January 7, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 7, 2025, Jul 10, 2018 (2 updates tracked since 2018).

About Lifetime Healthchoice Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIFETIME HEALTHCHOICE LLC (NPI 1073009338) is a healthcare organization registered as a developmental disabilities in East Orange, New Jersey and active in the NPI registry since July 2018. The organization lists Dennis Yeboah Kordie, Owner/nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1073009338
Entity TypeOrganization
Primary Taxonomy261QD1600X
Legal Business NameLIFETIME HEALTHCHOICE LLC
Location Address134 EVERGREEN PL STE 705East Orange, NJ 07018-2012
Mailing Address36 Hawthorne Pl Apt 4mMontclair, NJ 07042-3277 · (973) 641-8836
Phone(973) 641-8836
Fax(973) 695-3795
Organization SubpartNo
Authorized OfficialDennis Yeboah KordieOwner/nurse Practitioner · (973) 641-8836
Enumeration DateJuly 10, 2018
Last NPPES UpdateJanuary 7, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2025
✔ NPI 1073009338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Developmental DisabilitiesAmbulatory Health Care Facilities
Taxonomy Code261QD1600X
Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
134 EVERGREEN PL STE 705, East Orange, NJ 07018
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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lifetime Healthchoice Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Lifetime Healthchoice LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Dennis Kordie
Nurse Practitioner
NPI 1447640362
134 EVERGREEN PL STE 705
East Orange, NJ 07018
(973) 641-8836
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lifetime Healthchoice LLC's NPI number?

The NPI number for Lifetime Healthchoice LLC is 1073009338. It was assigned to this organization in the NPPES registry on July 10, 2018.

Where is Lifetime Healthchoice LLC located?

Lifetime Healthchoice LLC is located at 134 Evergreen Pl Ste 705, East Orange, NJ 07018. The listed phone number is (973) 641-8836.

What is Lifetime Healthchoice LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Developmental Disabilities, with taxonomy code 261QD1600X.

Is Lifetime Healthchoice LLC enrolled in Medicare?

Yes. Lifetime Healthchoice LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lifetime Healthchoice LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Lifetime Healthchoice LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Lifetime Healthchoice LLC was last updated on January 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.