Individual provider Active NPI

Leon Kushnir, MD

  • Surgery Physician
  • Newark, DE
National Provider Identifier
1003075755
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
25MA08979400 Issued in NJ
Practice address
4701 Ogletown Stanton Rd Ste 4200
Newark, DE 19713-2075
Phone
(302) 658-7533
Fax
(302) 737-7701
NPI assigned
Jun 7, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X C1-0027264 DE
Surgery Physician 208600000X 25MA08979400 NJ Primary

Addresses

Primary practice location

4701 Ogletown Stanton Rd Ste 4200
Newark, DE 19713-2075

Mailing address

1905 Country Club Dr
Cherry Hill, NJ 08003-3315
Phone (856) 285-8010

Other practice location 1

1102 E Chestnut Ave
Vineland, NJ 08360-5002
Phone (856) 213-6375

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, DE2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240703001976 WI Practitioner - General Surgery 8921152554 Reassigns benefits to 2 organizations
I20240919001278 DE Practitioner - General Surgery 8921152554 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
State University of Ny Upstate Medical University, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Christiana Care Health Services IncGroup PAC ID 9739097569, 1,480 clinicians

Practice addresses (Care Compare)

4701 Ogletown Stanton Rd
Suite 4200
Newark, DE 19713-2075
Phone (302) 737-7700

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C1-0027264DEMDSurgery Physician
25MA08979400NJMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Stevens Point Hospital & Clinics, Inc. CurrentSince Jul 18, 2024 Accepting new patients
Christiana Care Health Services Inc CurrentSince Sep 5, 2024 Accepting new patients
Aspirus Stevens Point Hospital & Clinics, Inc. CurrentSince Jul 18, 2024 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Jul 18, 2024 Accepting new patients
Aspirus Stevens Point Hospital & Clinics, Inc. Current Accepting new patients
Christiana Care Health Services Inc Surgery CurrentSince Sep 5, 2024 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Jul 18, 2024 Accepting new patients
Christiana Care Health Services, Inc Current Accepting new patients

Locations

4701 Ogletown Stanton Rd
Ste 2200
Newark, DE 19713
Phone (302) 366-1200

4701 Ogletown Stanton Rd
Ste 4200
Newark, DE 19713
Phone (302) 658-7533

4701 Ogletown Stanton Rd
Ste 1500
Newark, DE 19713
Phone (302) 623-4343

1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440

29980 Network Pl
Chicago, IL 60673

400 W Glen St
Crandon, WI 54520
Phone (715) 478-3318

2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-2074

900 Illinois Ave
Stevens Point, WI 54481
Phone (715) 342-7500

824 Illinois Ave
Stevens Point, WI 54481
Phone (715) 342-7500

401 W Mohawk Dr
Ste 100
Tomahawk, WI 54487
Phone (715) 453-7700

Networks

  • devoted network organization-9f3dfbd3-4aa6-4c92-8e71-9c4ed35ce037
  • devoted network organization-2d523d8e-e8f9-454a-bcd3-333df65bdbe8
  • devoted network organization-8ee96498-f86e-45f6-9fc9-a0f06c1636f9

Interoperability endpoints

  • Direct secure messaging: lkushnir228703@direct.aspirus.org

Organizations & group practices 8

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1212796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1003075755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 COUNTRY CLUB DR",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080033315",
            "telephone_number": "856-285-8010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 OGLETOWN STANTON RD STE 4200",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132075",
            "telephone_number": "302-658-7533",
            "fax_number": "302-737-7701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1102 E Chestnut Ave",
            "address_purpose": "LOCATION",
            "city": "Vineland",
            "state": "NJ",
            "postal_code": "083605002",
            "country_code": "US",
            "telephone_number": "856-213-6375",
            "fax_number": "856-575-4986",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUSHNIR",
        "first_name": "LEON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-07",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "DE",
            "license": "C1-0027264",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MA08979400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.