Individual provider Active NPI

Kirill Levin, PA-C

  • Surgical Physician Assistant
  • Camden, NJ
National Provider Identifier
1609315720
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
25MP00427300 Issued in NJ
Practice address
3 Cooper PLZ
Suite 316
Camden, NJ 08103-1438
Phone
(856) 342-3496
NPI assigned
Feb 22, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X MA058792 PA
Surgical Physician Assistant 363AS0400X 25MP00427300 NJ Primary

Addresses

Primary practice location

3 Cooper PLZ
Suite 316
Camden, NJ 08103-1438

Mailing address

301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197
Phone (856) 355-0340

Other practice location 1

239 Hurffville Crosskeys Rd Ste 350A
Sewell, NJ 08080-4007
Phone (856) 428-7700

Other practice location 2

1935 Route 70 E
Cherry Hill, NJ 08003-2117
Phone (856) 428-7700

Other practice location 3

1 Brace Rd Ste H
Cherry Hill, NJ 08034-2600
Phone (856) 428-7700

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address klevin49213@directvirtua.org
Direct Messaging Address klevin49213@directvirtua.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170504000205 NJ Practitioner - Physician Assistant 2062799851 Reassigns benefits to 2 organizations
I20240216002782 PA Practitioner - Physician Assistant 2062799851 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virtua Medical Group, PAGroup PAC ID 9830222397, 1,678 clinicians

Practice addresses (Care Compare)

100 Bowman Dr
Voorhees, NJ 08043-9612
Phone (856) 247-7260

1600 Haddon Ave
Camden, NJ 08103-3101

3242 Route 206
Bordentown, NJ 08505-4517

90 Brick Rd
Marlton, NJ 08053-2177
Phone (856) 247-7260

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
25MP00427300NJMDSurgical Physician Assistant
MA058792PAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Health Mid-Atlantic Medical Group CurrentSince Feb 5, 2024 Accepting new patients
Trinity Health Mid-Atlantic Medical Group CurrentSince Feb 5, 2024 Accepting new patients
Virtua Medical Group, PA CurrentSince Feb 1, 2019 Accepting new patients
Virtua Medical Group, PA CurrentSince Feb 1, 2019 Accepting new patients
Cooper Surgical Associates, PA CurrentSince Apr 1, 2017 Accepting new patients
Virtua Medical Group, PA Past Accepting new patients
Trinity Health Mid-Atlantic Medical Group Past Accepting new patients
Trinity Health Mid-Atlantic Medical Group Past Accepting new patients

Locations

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

3 Cooper Plz
Rm 403
Camden, NJ 08103
Phone (856) 342-2439

1 Federal St
Ste SW200
Camden, NJ 08103
Phone (856) 356-4920

3 Cooper Plz
Rm 411
Camden, NJ 08103
Phone (856) 342-2270

1 Brace Rd
Ste H
Cherry Hill, NJ 08034
Phone (856) 547-0389

1935 Route 70 E
Cherry Hill, NJ 08003
Phone (856) 246-3920

15 E Euclid Ave
Haddonfield, NJ 08033
Phone (856) 429-1711

301 Lippincott Dr
Ste 410
Marlton, NJ 08053

570 Egg Harbor Rd
Ste B1
Sewell, NJ 08080
Phone (856) 341-8495

239 Hurffville Crosskeys Rd
Ste 350A
Sewell, NJ 08080
Phone (856) 589-0300

1203 Langhorne Newtown Rd
Ste 225
Langhorne, PA 19047
Phone (215) 710-4490

41 University Dr
Ste 300
Newtown, PA 18940
Phone (215) 710-7037

1201 Langhorne Newtown Rd
Penndel, PA 19047
Phone (215) 710-2100

Interoperability endpoints

  • Direct secure messaging: klevin3339234@direct.trinity-health.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 2

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": "1487721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768348800000",
    "number": "1609315720",
    "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",
            "fax_number": "856-355-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 COOPER PLZ",
            "address_2": "SUITE 316",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031438",
            "telephone_number": "856-342-3496"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "239 Hurffville Crosskeys Rd Ste 350A",
            "address_purpose": "LOCATION",
            "city": "Sewell",
            "state": "NJ",
            "postal_code": "080804007",
            "country_code": "US",
            "telephone_number": "856-428-7700",
            "fax_number": "856-325-4196",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1935 Route 70 E",
            "address_purpose": "LOCATION",
            "city": "Cherry Hill",
            "state": "NJ",
            "postal_code": "080032117",
            "country_code": "US",
            "telephone_number": "856-428-7700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Brace Rd Ste H",
            "address_purpose": "LOCATION",
            "city": "Cherry Hill",
            "state": "NJ",
            "postal_code": "080342600",
            "country_code": "US",
            "telephone_number": "856-428-7700",
            "fax_number": "856-341-8394",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEVIN",
        "first_name": "KIRILL",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-22",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "PA",
            "license": "MA058792",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NJ",
            "license": "25MP00427300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "klevin49213@directvirtua.org",
            "affiliation": "N",
            "address_1": "1935 Route 70 E",
            "city": "Cherry Hill",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080032117",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "klevin49213@directvirtua.org",
            "affiliation": "N",
            "address_1": "239 Hurffville Crosskeys Rd Ste 350A",
            "city": "Sewell",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080804007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Camden, NJ

Sources for this page

Verify at the official NPI Registry.