Carolyn J Kushner, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

25MA11857500 Issued in NJ

Practice address

2200 State Route 10
Suite 106
Morris Plains, NJ 07950

Phone

(973) 232-6245

Fax

(973) 232-6247

NPI assigned

Mar 20, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

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

Specialty

Dermatology

Education

Perelman School of Med at the University of Pennsylvania, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Medical Group of New JerseyGroup PAC ID 4082979166, 299 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

96.62 of 100Reported as group

Quality

93.24

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/ez_00088

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.

• The Radiology Group of New Jersey, LLC

  • Multi-Specialty Clinic/Center
  • Hackettstown, NJ
  • NPI 1174010540
  Medicare reassignment Care Compare group NPD
• Dermatology Consultants of Millburn

  • Dermatology Physician
  • Short Hills, NJ
  • NPI 1851544423
  Medicare reassignment NPD
• Monmouth Digestive Health LLC

  • Gastroenterology Physician
  • Eatontown, NJ
  • NPI 1831721232
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1553040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1639639487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "636 MORRIS TPKE STE 2H",
            "city": "SHORT HILLS",
            "state": "NJ",
            "postal_code": "070782608",
            "telephone_number": "973-232-6245",
            "fax_number": "973-232-6247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 STATE ROUTE 10",
            "address_2": "SUITE 106",
            "city": "MORRIS PLAINS",
            "state": "NJ",
            "postal_code": "07950",
            "telephone_number": "973-232-6245",
            "fax_number": "973-232-6247"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "636 Morris Tpke Ste 2H",
            "address_purpose": "LOCATION",
            "city": "Short Hills",
            "state": "NJ",
            "postal_code": "070782608",
            "country_code": "US",
            "telephone_number": "973-232-6245",
            "fax_number": "973-232-6247",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUSHNER",
        "first_name": "CAROLYN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-20",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "25MA11857500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ckushner@shorthillsderm.ezderm.info",
            "affiliation": "N",
            "address_1": "2200 State Route 10",
            "address_2": "Suite 106",
            "city": "Morris Plains",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "07950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Paul Kovalski II, D.M.D,
• Kowala ABA LLC
• Diana James Krafcik, LCSW, LCADC
• Manjula Kumar, M.D.
• George Kuryllo, D.M.D.
• Stella T Kyaw-Soe
• Michael Morris Lake, LCSW
• Brad W. Lambert, M.P.T., C.S.C.S.
• Johann Larkin, LSW
• Alicia M Lecourieux, M.S., BCBA

• Dermatology Physician in Morris Plains, NJ
• Providers in Morris Plains, NJ by specialty
• Dermatology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.