LAURENCE WYNN (NPI# 1962623389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215146337 | Laurence A Wynn | Dentist | 164 Commack Rd, Commack, NY 11725-3430 | 2007-05-22 |
Street Address |
35 HACKENSACK AVE |
City | KEARNY |
State | NJ |
Zip Code | 07032-4635 |
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 |
Find all providers in zip 07032 |
Taxonomy Code | 2083P0901X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Preventive Medicine |
Specialization | Public Health & General Preventive Medicine |
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. |
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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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.