# KEYSTONE INTEGRATED HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497617112
- **Authorized official:** DR. GORDON KUSI APN, DNP (ADVANCED PRACTICE NURSE)
- **Authorized official phone:** (732) 889-5420

## Contact information

- **Practice address:** 407 OMNI DR, HILLSBOROUGH, NJ 08844-4527
- **Practice address phone:** (732) 889-5420
- **Practice address fax:** (732) 931-4593
- **Mailing address:** 407 OMNI DR, HILLSBOROUGH, NJ 08844-4527
- **Mailing address phone:** (732) 889-5420
- **Mailing address fax:** (732) 931-4593

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | — | NULL | — |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | — | — | — |
| 2084P0802X | Addiction Psychiatry Physician | — | NULL | — |
| 2084P0802X | Addiction Psychiatry Physician | — | — | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | NULL | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | — | — |
| 2084P0805X | Geriatric Psychiatry Physician | — | NULL | — |
| 2084P0805X | Geriatric Psychiatry Physician | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 12/01/2025
- **Last updated:** 12/17/2025