Active NPI
Randy S Kushner, D.O.
- Pain Medicine (Anesthesiology) Physician
- Camden, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 25MB04980300
- Practice address
- 1600 Haddon Ave FL 3
Camden, NJ 08103-3101 - Phone
- (856) 988-6260
- NPI assigned
- Jun 14, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 25MB04980300 | NJ | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 25MB04980300 | NJ | Primary |
Addresses
Primary practice location
1600 Haddon Ave FL 3
Camden, NJ 08103-3101
Mailing address
301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197
Phone (856) 355-0340
Other practice location 1
1600 Haddon Ave
Camden, NJ 08103-3101
Phone (856) 757-3836
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0097412000 | Other | NJ | AMERIHEALTH |
| 0009928 | Other | NJ | AETNA |
| 222041639 | Other | NJ | TAX ID |
| 050046259 | Other | NJ | RAILROAD MEDICARE |
| 36019 | Other | NJ | AMERIGROUP |
| 1059897 | Other | NJ | HORIZON NJ HEALTH |
| 2403501 | 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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041215000713 | NJ | Practitioner - Anesthesiology | 9335052604 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MB04980300 | NJ | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virtua Medical Group, PA | Anesthesiology | Current | Accepting new patients |
| Mid-Atlantic Anesthesia Associates PA | Anesthesiology | Current | Accepting new patients |
| Virtua Medical Group, PA | Current | Accepting new patients | |
| Shrewsbury Ambulatory Anesthesia LLC | Anesthesiology | Current | Accepting new patients |
Locations
3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340
1600 Haddon Ave
#L
Camden, NJ 08103
Phone (856) 757-3500
1600 Haddon Ave
Fl 3
Camden, NJ 08103
Phone (609) 988-6260
1600 Haddon Ave
Camden, NJ 08103
Phone (609) 757-3500
301 Lippincott Dr
Ste 410
Marlton, NJ 08053
655 Shrewsbury Ave
Shrewsbury, NJ 07702
Phone (732) 450-6000
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- Camden, NJ
- NPI 1366486508
Anesthesiology, NJ
-
- Anesthesiology Physician
- Shrewsbury, NJ
- NPI 1356691885
Anesthesiology, NJ
-
- Orthopaedic Surgery Physician
- Delran, NJ
- NPI 1841087988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763596800000",
"number": "1437192564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 LIPPINCOTT DR STE 410",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080534197",
"telephone_number": "856-355-0340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 HADDON AVE FL 3",
"city": "CAMDEN",
"state": "NJ",
"postal_code": "081033101",
"telephone_number": "856-988-6260"
}
],
"practiceLocations": [
{
"address_1": "1600 Haddon Ave",
"address_purpose": "LOCATION",
"city": "Camden",
"state": "NJ",
"postal_code": "081033101",
"country_code": "US",
"telephone_number": "856-757-3836",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KUSHNER",
"first_name": "RANDY",
"middle_name": "S",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2025-11-20",
"certification_date": "2025-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NJ",
"license": "25MB04980300",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "NJ",
"license": "25MB04980300",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH",
"identifier": "0097412000",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0009928",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "222041639",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "050046259",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "36019",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON NJ HEALTH",
"identifier": "1059897",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2403501",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Camden, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; 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.