Active NPI
Randolph Kahn, M.D.
- Anesthesiology Physician
- Union, NJ
National Provider Identifier
1235122144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 25MB06083300
- Practice address
- 695 Chestnut St
Union, NJ 07083-7200 - Phone
- (908) 851-7161
- NPI assigned
- Aug 25, 2005
- Last updated
- Mar 10, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 25MB06083300 | NY | Primary |
Addresses
Primary practice location
695 Chestnut St
Union, NJ 07083-7200
Mailing address
695 Chestnut St
Union, NJ 07083-7200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6408605 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MB06083300 | NY | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Union Anesthesia Associates, PA | Anesthesiology | Current | Accepting new patients |
Locations
1931 Oak Tree Rd
Edison, NJ 08820
Phone (732) 482-9600
695 Chestnut St
Union, NJ 07083
Phone (908) 688-6565
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pain Medicine (Anesthesiology) Physician
- Union, NJ
- NPI 1730293598
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394409600000",
"number": "1235122144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "695 CHESTNUT ST",
"city": "UNION",
"state": "NJ",
"postal_code": "070837200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "695 CHESTNUT ST",
"city": "UNION",
"state": "NJ",
"postal_code": "070837200",
"telephone_number": "908-851-7161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAHN",
"first_name": "RANDOLPH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-25",
"last_updated": "2014-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "25MB06083300",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6408605",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Union, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.