DR. GWYN LAURICE POBLETE (NPI# 1295887339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295887339 |
| Entity Type | Individual |
| Full Name | DR. GWYN LAURICE POBLETE |
| Credential | MD |
| Practice Address |
261 James St Morristown NJ 07960-6392 |
| Mailing Address |
39 Wagner Ln Hillsborough NJ 08844-3328 |
| Practice Telephone | 9735409393 |
| Practice Fax Number | 9735401937 |
| Mailing Telephone | 9739512718 |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2014-11-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 25MA08142100 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
261 JAMES ST |
| City | MORRISTOWN |
| State | NJ |
| Zip Code | 07960-6392 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720083710 | Barry D Weinreb | Specialist | 261 James St, Ste 1d, Morristown, NJ 07960 | 2005-06-16 |
| 1831520170 | Angela Chung | Family Medicine | 261 James St, Suite 2a, Morristown, NJ 07960-6392 | 2013-12-12 |
| 1730430695 | Tracy T Agostino | Registered Nurse | 261 James St, Suite 1g, Morristown, NJ 07960-6392 | 2012-10-01 |
| 1124389804 | Michelle Aviva Oliver | Nurse Practitioner | 261 James St, Suite 2g, Morristown, NJ 07960-6392 | 2012-05-30 |
| 1780968446 | Advocare, LLC | Pediatrics | 261 James St, Suite 1g, Morristown, NJ 07960-6392 | 2011-09-29 |
| 1477840403 | Daveed Frazier, Md LLC | Orthopaedic Surgery | 261 James St, Suite 2g, Morristown, NJ 07960-6392 | 2011-06-28 |
| 1609167352 | Psychiatric Consultants of Morris | Psychologist | 261 James St, Suite 3g, Morristown, NJ 07960-6392 | 2011-04-29 |
| 1831376516 | Morristown Eyeglass Boutique | Eyewear Supplier (Equipment, not the service) | 261 James St, 1b, Morristown, NJ 07960-6392 | 2008-01-25 |
| 1427237346 | Robin Freed | Nurse Practitioner | 261 James St, Suite 1g, Morristown, NJ 07960-6392 | 2007-10-27 |
| 1720267859 | Lisa Christine Romano | Nurse Practitioner | 261 James St, Suite 1g, Morristown, NJ 07960-6392 | 2007-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710587050 | Deborah Ann Straka-demarco | Physical Therapist | 131 Madison Avenue, 3rd Floor, Morristown, NJ 07960 | 2020-10-27 |
| 1962009381 | Savannah Haririe | Family Medicine | 9 N Dorado Dr, Morristown, NJ 07960 | 2020-10-08 |
| 1063034718 | Cerebral Palsy of North Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1050 Mount Kemble Avenue, Harding, NJ 07960 | 2020-05-15 |
| 1154801967 | Danielle M Rediker | Physical Therapist | 25 Lindsley Drive Morristown, Nj 07960, 207, Morristown, NJ 07960 | 2018-08-21 |
| 1982105631 | Erin Scott | Counselor | 15 Elliott Street, Morristown, NJ 07960 | 2018-02-27 |
| 1992152029 | Alfre Inc. | Clinic/Center | 56 Mt Kemble Ave, Morrsitown, NJ 07960 | 2016-05-18 |
| 1285081588 | Pamela Marel | Social Worker | 3 First Street, Apt#2, Morristown, NJ 07960 | 2016-05-17 |
| 1346696671 | Community Options Enterprises, Inc | Day Training, Developmentally Disabled Services | 150 -152 Speedwell Avenue, Morristown, NJ 07960 | 2016-05-05 |
| 1841654274 | Matthew Olesiak | Student in an Organized Health Care Education/Training Program | 100 Madison Avenue, Morristown, Nj 07960, Morristown, NJ 07960 | 2016-04-12 |
| 1912372392 | Universal Rehabilitation & Fitness Center Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 41 Tiger Lily Ln, Morristown, NJ 07960 | 2015-12-10 |
| Find all providers in zip 07960 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578115622 | Ahmad Salah Sami | Pediatrics | 100 Madison Ave # 7960, Morristown, NJ 07960-6136 | 2019-07-09 |
| 1184817017 | Roger Kane | Pediatrics | 25 Harwich Rd, Morristown, NJ 07960-2639 | 2007-08-23 |
| 1538370630 | Shannon Elizabeth Babineau | Pediatrics | 100 Madison Ave Box 24, Morristown, NJ 07960 | 2007-05-24 |
| 1205055241 | Deborah Chernock Block | Pediatrics | 32 Bradwahl Dr, Morristown, NJ 07960-6131 | 2007-04-25 |
| 1043332752 | Susan Lasker | Pediatrics | 2 Convent Rd, College of St. Elizabeth Founders Hall Health Service, Morristown, NJ 07960-6923 | 2007-04-04 |
| 1629100995 | Pediatrics of Morristown | Pediatrics | 144 Speedwell Ave, Rear Building, Morristown, NJ 07960-3850 | 2007-03-12 |
| 1639238884 | Victoria Shluper | Pediatrics | 101 Madison Ave Ste 103, Morristown, NJ 07960-7305 | 2006-12-06 |
| 1336161496 | Sabrina Gloria Destefano | Pediatrics | 12f Dorado Dr, Morristown, NJ 07960-9413 | 2006-07-24 |
| 1144259920 | Larry Michael Toffoletto | Pediatrics | 1817 W Morris Blvd, Morristown, TN 37813-2837 | 2006-07-02 |
| 1245288588 | Annette Lucy Rossetti-cartaxo | Pediatrics | 435 South St Suite 160, Morristown, NJ 07960 | 2006-05-05 |
| Find all providers in MORRISTOWN | ||||
| City | MORRISTOWN |
| Zip Code | 07960 |
Please comment or provide details below to improve the information on DR. GWYN LAURICE POBLETE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.