Individual provider Active NPI

Kenneth David Schulner, M.D.

  • Cardiovascular Disease Physician
  • Willingboro, NJ
National Provider Identifier
1417900614
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
25MA04240900 Issued in NJ
Practice address
220 Sunset Rd
Ste 2B
Willingboro, NJ 08046-1126
Phone
(609) 871-4487
Fax
(609) 871-4491
NPI assigned
May 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 25MA04240900 NJ Primary

Addresses

Primary practice location

220 Sunset Rd
Ste 2B
Willingboro, NJ 08046-1126

Mailing address

220 Sunset Rd
Ste 2B
Willingboro, NJ 08046-1126
Phone (609) 871-4487

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050915000029 NJ Practitioner - Cardiovascular Disease (Cardiology) 7012940596 Practice locations: Willingboro, NJ

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Medical College of Wisconsin, 1977
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

220 Sunset Rd
Willingboro, NJ 08046-1126
Phone (609) 871-4487

Hospital & facility affiliations

National Provider Directory

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

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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1417900614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 SUNSET RD",
            "address_2": "STE 2B",
            "city": "WILLINGBORO",
            "state": "NJ",
            "postal_code": "080461126",
            "telephone_number": "609-871-4487",
            "fax_number": "609-871-4491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 SUNSET RD",
            "address_2": "STE 2B",
            "city": "WILLINGBORO",
            "state": "NJ",
            "postal_code": "080461126",
            "telephone_number": "609-871-4487",
            "fax_number": "609-871-4491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULNER",
        "first_name": "KENNETH",
        "middle_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA04240900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willingboro, NJ

Sources for this page

Verify at the official NPI Registry.