Active NPI
Marc Leslie Kahn, MD
- Orthopaedic Surgery Physician
- Cherry Hill, NJ
National Provider Identifier
1609955756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- MA43061
- Practice address
- 2201 Chapel Ave W
Cherry Hill, NJ 08002-2048 - Phone
- (856) 663-7080
- Fax
- (856) 675-3388
- NPI assigned
- Nov 2, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | MA43061 | NJ | Primary |
Addresses
Primary practice location
2201 Chapel Ave W
Cherry Hill, NJ 08002-2048
Mailing address
2201 Chapel Ave W
Cherry Hill, NJ 08002-2048
Phone (856) 663-7080
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0423977000 | Other | AMERIHEALTH | |
| F01655 | Other | HEALTHNET | |
| 1002478 | Other | HORIZON | |
| 914754 | Other | UNITED HEALTH CARE | |
| 4589505 | Medicaid | NJ | |
| P875288 | Other | OXFORD | |
| 4274455 | Other | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA43061 | NJ | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regional Orthopedic Professional Association | Orthopaedic Surgery | Past | Accepting new patients |
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.
-
- Orthopaedic Surgery Physician
- Cherry Hill, NJ
- NPI 1073567095
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284422400000",
"number": "1609955756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2201 CHAPEL AVE W",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080022048",
"telephone_number": "856-663-7080",
"fax_number": "856-675-3388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2201 CHAPEL AVE W",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080022048",
"telephone_number": "856-663-7080",
"fax_number": "856-675-3388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAHN",
"first_name": "MARC",
"middle_name": "LESLIE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-02",
"last_updated": "2010-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NJ",
"license": "MA43061",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH",
"identifier": "0423977000",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "F01655",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON",
"identifier": "1002478",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "914754",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4589505",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P875288",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4274455",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cherry Hill, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.