Organization Active NPI

Kirshner Spine Institute, LLC

  • Orthopaedic Surgery of the Spine Physician
  • Marlton, NJ
National Provider Identifier
1760766836
Registry record updated Oct 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
MA45874 Issued in NJ
Legal business name
KIRSHNER SPINE INSTITUTE, LLC
Practice address
525 Route 73 S Ste 302
Evesham Commons
Marlton, NJ 08053-9644
Phone
(856) 267-5629
Fax
(856) 574-4043
NPI assigned
Oct 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2011

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

Authorized official

Name
Dr. Steven Benjamin Kirshner, M.D.NPI 1518906767
Title
Owner
Phone
(856) 267-5629

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XS0117X MA45874 NJ Primary

Addresses

Primary practice location

525 Route 73 S Ste 302
Evesham Commons
Marlton, NJ 08053-9644

Mailing address

525 Route 73 S Ste 302
Evesham Commons
Marlton, NJ 08053-9644
Phone (856) 267-5629

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130114000372 NJ Part B Supplier - Clinic/Group Practice 3274786603 Receives reassigned benefits from 3 practitioners
Practice locations: Marlton, NJ

National Provider Directory

National Provider Directory

Locations

525 Route 73 S
Ste 302
Marlton, NJ 08053
Phone (856) 267-5629

1103 W Sherman Ave
Bldg 2A
Vineland, NJ 08360
Phone (856) 691-1129

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1317859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317859200000",
    "number": "1760766836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 ROUTE 73 S STE 302",
            "address_2": "EVESHAM COMMONS",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080539644",
            "telephone_number": "856-267-5629",
            "fax_number": "856-574-4043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 ROUTE 73 S STE 302",
            "address_2": "EVESHAM COMMONS",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080539644",
            "telephone_number": "856-267-5629",
            "fax_number": "856-574-4043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRSHNER SPINE INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-06",
        "last_updated": "2011-10-06",
        "status": "A",
        "authorized_official_last_name": "KIRSHNER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "BENJAMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-267-5629",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "NJ",
            "license": "MA45874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.