Individual provider Active NPI

Warren Gillette Jr., MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Dover, DE
National Provider Identifier
1649221870
Registry record updated Jul 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
MD463045 Issued in PA
Practice address
1253 College Park Dr
Dover, DE 19904-8713
Phone
(302) 677-0000
NPI assigned
May 12, 2006
Last updated
Jul 5, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 20124 AZ
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X MD463045 PA Primary
General Practice Physician 208D00000X 20124 AZ

Addresses

Primary practice location

1253 College Park Dr
Dover, DE 19904-8713

Mailing address

1253 College Park Dr
Dover, DE 19904-8713
Phone (302) 677-0000

Other names 1

  • Warren Gillette Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, PA, NJ3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20180723001680 DE Practitioner - Pathology 3779595772 Reassigns benefits to 1 organization
I20200204002933 PA Practitioner - Pathology 3779595772 Reassigns benefits to 1 organization
I20200513003324 NJ Practitioner - Pathology 3779595772 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mario Gonzalez, MDGroup PAC ID 3779509641, 3 clinicians
Princeton Pathology Services PLLCGroup PAC ID 4082962451, 3 clinicians
Pathlink of New JerseyGroup PAC ID 0446641245, 15 clinicians

Practice addresses (Care Compare)

111 Central Ave
Newark, NJ 07102-1909
Phone (973) 877-5200

501 Bath Rd
Bristol, PA 19007-3101
Phone (215) 785-9200

5800 Ridge Ave
Philadelphia, PA 19128-1737
Phone (215) 483-9900

901 W Main St
Freehold, NJ 07728-2537
Phone (407) 422-9831

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
20124AZMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pathlink of New Jersey Single Specialty CurrentSince Nov 1, 2021 Accepting new patients
Signify Health Medical Associates, PLLC Single Specialty CurrentSince Dec 30, 2019 Accepting new patients
Princeton Pathology Services PA Specialist CurrentSince Feb 17, 2020 Accepting new patients

Locations

1209 N Orange St
Wilmington, DE 19801
Phone (800) 875-1575

7083 Grand National Dr
Ste 102
Orlando, FL 32819

25 Pocono Rd
Denville, NJ 07834
Phone (273) 625-6000

400 W Blackwell St
Dover, NJ 07801
Phone (973) 537-3818

901 W Main St
Freehold, NJ 07728
Phone (732) 294-2666

1 Bay Ave
Montclair, NJ 07042
Phone (973) 429-6100

111 Central Ave
Newark, NJ 07102
Phone (973) 877-5060

1 Hamilton Health Pl
Trenton, NJ 08690
Phone (609) 584-6763

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 4

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

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530748800000",
    "number": "1649221870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1253 COLLEGE PARK DR",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199048713",
            "telephone_number": "302-677-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1253 COLLEGE PARK DR",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199048713",
            "telephone_number": "302-677-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLETTE",
        "first_name": "WARREN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2018-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": "20124",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "PA",
            "license": "MD463045",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AZ",
            "license": "20124",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WARREN",
            "last_name": "GILLETTE",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Dover, DE

Sources for this page

Verify at the official NPI Registry.