Lauren B Gabler, APN

Individual provider Active NPI Pediatric Nurse Practitioner · Delran, NJ

NPI 1104165489 · NPPES record last updated Jan 2, 2020

Key facts

NPI
1104165489
Entity type
Individual (NPI type 1)
Primary specialty
Pediatric Nurse Practitioner 363LP0200X
License
26NJ00420000 (NJ)
Practice address
8008 Route 130
Suite 204
Delran, NJ 08075-1869
Phone
(856) 824-0099
Fax
(856) 824-0088
NPI assigned
Feb 6, 2013
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
26NJ00420000NJMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pascale Bastien MDPC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 26NJ00420000 NJ Yes

Addresses

Primary practice location

8008 Route 130
Suite 204
Delran, NJ 08075-1869

Mailing address

8008 Route 130
Suite 204
Delran, NJ 08075-1869
Phone (856) 824-0099

Other identifiers

IdentifierTypeStateIssuer
0511293MedicaidNJ

Other providers in Delran, NJ

All providers in Delran, NJ · Pediatric Nurse Practitioner in New Jersey

Sources for this page

Verify at the official NPI Registry.