Provider Demographics
NPI:1235196262
Name:WINANT, JOHN GILBERT JR (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:GILBERT
Last Name:WINANT
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 QUAKERBRIDGE PLAZA
Mailing Address - Street 2:
Mailing Address - City:MERCERVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08619-1255
Mailing Address - Country:US
Mailing Address - Phone:609-890-8782
Mailing Address - Fax:
Practice Address - Street 1:8 QUAKERBRIDGE PLAZA
Practice Address - Street 2:
Practice Address - City:MERCERVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08619-1255
Practice Address - Country:US
Practice Address - Phone:609-890-8782
Practice Address - Fax:609-890-0025
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-26
Last Update Date:2010-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA37258207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
180019OtherHORIZON
22232653OtherPHCS
222326530OtherCHN
MES249OtherOXFORD
NJ1694502Medicaid
17569OtherAETNA
670986OtherUNITED HEALTHCARE
156257OtherONE HEALTH PLAN
222326530OtherUNIVERSITY HEALTH PLAN
0090172000OtherAMERIHEALTH
0952924011OtherCIGNA
222326530OtherDEVON
222326530OtherHCPC HEALTH CARER PAYERS
11724OtherMEDICHOICE
222326530OtherAMERIHEALTH PERSONAL CHOI
222326530OtherFIRST HEALTH
222326530OtherHORIZON
0952924011OtherCIGNA
156257OtherONE HEALTH PLAN