LAURENCE WYNN


Address: 35 Hackensack Ave, Kearny, NJ 07032-4635
Phone: 9734915525

LAURENCE WYNN (NPI# 1962623389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962623389
Entity Type Individual
Full Name LAURENCE WYNN
Credential MD, MPH.
Practice Address 35 Hackensack Ave
Kearny
NJ 07032-4635
Mailing Address 82 Wedgewood Dr
Montville
NJ 07045-9044
Practice Telephone 9734915525
Mailing Telephone 9732635336
Enumeration Date 2007-05-01
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 2083P0901X Preventive Medicine
Specialization: Public Health & General Preventive Medicine
25MA04463500 NJ Allopathic & Osteopathic Physicians
X 208D00000X General Practice 25MA04463500 NJ Allopathic & Osteopathic Physicians

Other Providers LAURENCE WYNN

NPI Name Taxonomy Address Enumeration
1215146337 Laurence A Wynn Dentist 164 Commack Rd, Commack, NY 11725-3430 2007-05-22

Office Location

Street Address 35 HACKENSACK AVE
City KEARNY
State NJ
Zip Code 07032-4635

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184192445 Wise Hearing New Jersey LLC Hearing Instrument Specialist 179 Kearney Ave, Kearny, NJ 07032 2018-11-05
1497232847 Amira Haany Elgindy Physician Assistant Premier Care Associates, 512 Kearny Avenue, Suite B, Kearny, NJ 07032 2018-07-27
1427577097 Insight Behavioral Services Home Health 78 John Miller Way, Suite 314, Kearny, NJ 07032 2017-09-14
1366985178 Minerva Refe Brizuela Nurse Practitioner 30-35 So. Hackensack Avenue, Hudson County Correctional, Kearny, NJ 07032 2016-11-28
1356710396 Walgreen Co . Durable Medical Equipment & Medical Supplies 465 Kearny Ave, Kearny, NJ 07032 2015-09-21
1083016489 Center for Remote Medical Management LLC Clinic/Center 856 Kearny Ave Ste 2, Kearny, NJ 07032 2014-09-17
1467750836 Anita Hillary Pharmacist 248 Kearny Avenue, Kearny, NJ 07032 2011-03-08
1770818486 Twyla N Rentas Nurse Practitioner 30 Hackensack Ave., Kearny, NJ 07032 2009-10-14
1326293291 Kearny Health Dept Public Health or Welfare 645 Kearny Avenue, Kearny Health Dept, Kearny, NJ 07032 2008-11-19
1669622015 Emad Jacob Internal Medicine 715 Kearney Ave, Kearney, NJ 07032 2008-09-23
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Taxonomy Information

Taxonomy Code 2083P0901X
Grouping Allopathic & Osteopathic Physicians
Classification Preventive Medicine
Specialization Public Health & General Preventive Medicine

Taxonomy Definition

Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings.
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 Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1669875407 Steven Craig Linn Preventive Medicine 1505 W. Sherman Ave, Inspira Health Network, Vineland, NJ 08360 2014-10-08
1346668928 Zachary Chusid Williamson Preventive Medicine 508 Carnegie Ctr, Princeton, NJ 08540-6259 2014-04-01
1396000246 Michael C Sokol Preventive Medicine 34 Princeton Ct, Basking Ridge, NJ 07920-4248 2012-07-06
1669746327 George T Diferdinando Jr. Preventive Medicine 683 Hoes Ln W, Umdnj Sph Room 129, Piscataway, NJ 08854-8021 2012-02-28
1568748499 Andres Digenio Preventive Medicine 805 Sunny Slope Rd, Bridgewater, NJ 08807-3603 2011-10-24
1477838811 Betterhabits Health Services, LLC Preventive Medicine 253 Warren Ave, Fort Lee, NJ 07024-4108 2011-10-17
1679862049 Whitney Charnell Dessio Preventive Medicine 30 Landau Rd, Basking Ridge, NJ 07920-3717 2011-04-06
1013170083 Russell V Silverman Preventive Medicine 110 E Maryland Ave, Somers Point, NJ 08244-2525 2008-07-09
1134388705 Andrew David Miller Preventive Medicine 8 Lancashire Dr, Princeton Junction, NJ 08550-1210 2008-06-08
1245406172 Wanju Shaw Dai Preventive Medicine 235 Kociemba Dr, Rivervale, NJ 07675-5531 2008-04-30
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Competitor

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City KEARNY
Zip Code 07032

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Dataset Information

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.

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