ROBERT L WELLNER (NPI# 1275879215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275879215 |
Entity Type | Organization |
Organization Name | ROBERT L WELLNER |
Other Organization Name | PATIENT CENTERED MEDICAL CARE |
Practice Address |
10 Forrestal Rd S Suite 209 Princeton NJ 08540-6666 |
Practice Telephone | 6097200032 |
Practice Fax Number | 6097200034 |
Mailing Telephone | 6097200032 |
Mailing Fax Number | 6097200034 |
Enumeration Date | 2012-12-19 |
Last Update Date | 2016-01-05 |
Authorized Official Name | DR. ROBERT L WELLNER (OWNER) |
Authorized Official Telephone | 6093581788 |
Authorized Official Credential | DO |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians | ||
N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
25MB07771400 | NJ | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MEDICARE PTAN | 269738 | 01 |
Other Name | Type Code |
---|---|
Patient Centered Medical Care | Doing Business As Name - Organization |
Street Address |
10 FORRESTAL RD S SUITE 209 |
City | PRINCETON |
State | NJ |
Zip Code | 08540-6666 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285660183 | Heather M Van Raalte | Obstetrics & Gynecology | 10 Forrestal Rd S, Suite 205, Princeton, NJ 08540-6666 | 2006-06-23 |
1831607605 | Dharmesh Patel | Pharmacist | 10 Forrestal Rd S, Princeton, NJ 08540-6666 | 2018-01-16 |
1912351388 | Mercer Bucks Orthopaedics, P.C. | Durable Medical Equipment & Medical Supplies | 10 Forrestal Rd S, Suite 105, Princeton, NJ 08540-6666 | 2016-04-21 |
1154794774 | Princeton Medical Associates Pa | Clinic/Center | 10 Forrestal Rd S, Princeton, NJ 08540-6666 | 2015-11-04 |
1639549496 | Elite Medical Associates Pa | Clinic/Center | 10 Forrestal Rd S, Suite 101, Princeton, NJ 08540-6666 | 2015-10-05 |
1295960706 | Nina P. Bhatia | Obstetrics & Gynecology | 10 Forrestal Rd S, Suite 205, Princeton, NJ 08540-6666 | 2009-05-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003420613 | Samantha Beatriz Manzano | Pharmacist | 301 N Harrison Street, Princeton, NJ 08540 | 2020-09-01 |
1306485768 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 414 Freedom Blvd, Princeton, NJ 08540 | 2020-01-03 |
1124667589 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 415 Freedom Blvd, Princeton, NJ 08540 | 2020-01-03 |
1215576673 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 416 Freedom Blvd, Princeton, NJ 08540 | 2020-01-03 |
1508405929 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 411 Freedom Blvd, Princeton, NJ 08540 | 2020-01-02 |
1992369698 | Suzanne Haggerty | Social Worker | 716 Executive Drive, Princeton, NJ 08540 | 2019-04-28 |
1700349552 | Pdp Associates LLC | Social Worker | 3490 Us Highway 1, Building 16 Suite 112, Princeton, NJ 08540 | 2019-04-09 |
1245722438 | Kyle Bonner | Social Worker | 166 Bunn Dr Ste 105, Princeton, NJ 08540 | 2018-06-04 |
1942700125 | Lifetouch Behavioral Health, LLC | Community/Behavioral Health | 112 Commons Way, Building 1, Suite 112, Princeton, NJ 08540 | 2018-02-14 |
1912407271 | Princeton Psychiatry & Consulting, LLC | Psychiatry & Neurology | 601 Ewing St, Suite C-10, Princeton, NJ 08540 | 2018-02-13 |
Find all providers in zip 08540 |
Taxonomy Code | 207LP2900X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Anesthesiology |
Specialization | Pain Medicine |
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205373669 | Tristate Pain and Spine Management LLC | Anesthesiology | 28 Courtside Ln, Princeton, NJ 08540-9504 | 2017-01-24 |
1457740995 | Careone Pain Management LLC | Anesthesiology | 288 Sayre Dr, Princeton, NJ 08540-5859 | 2015-01-21 |
1578752572 | Jason Ronald Cohen | Anesthesiology | 12 Ginger Ct, Princeton, NJ 08540 | 2007-10-16 |
1932145000 | Southern Illinois Anesthesia Ltd | Anesthesiology | 2030 Sherman Dr, Princeton, IN 47670-1045 | 2006-06-20 |
1619451960 | Caring Medicine PC | Anesthesiology | 288 Sayre Dr, Princeton, NJ 08540-5859 | 2018-09-22 |
1295810976 | Princeton Anesthesia Services, PC | Anesthesiology | 281 Witherspoon St, Princeton, NJ 08540-3210 | 2006-10-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013517044 | Excellence Medical Care, PC | Anesthesiology | 110 S Grove St Fl 2, East Orange, NJ 07018-4102 | 2020-10-28 |
1851998488 | Kenneth Paul Michelette | Anesthesiology | 72 W Jimmie Leeds Rd Ste 2500, Galloway, NJ 08205-9413 | 2020-10-06 |
1407462815 | Optimal Pain & Spine | Anesthesiology | 757 Route 202/206 Ste 104, Bridgewater, NJ 08807-1763 | 2020-09-21 |
1457986119 | Windsor Management LLC Michael Ole Fridman Sole Mbr. | Anesthesiology | 831 Main Ave Ste 5831, Passaic, NJ 07055-8400 | 2020-03-03 |
1750914776 | Center for Regenerative Therapy and Pain Management | Anesthesiology | 459 Jack Martin Blvd Ste 4, Brick, NJ 08724-7724 | 2020-02-18 |
1083251375 | Joshua Persaud Md LLC | Anesthesiology | 2 Pine Meadow Ct, E Brunswick, NJ 08816 | 2019-12-05 |
1649816976 | Elizabeth Pavlovsky | Anesthesiology | 666 Plainsboro Rd Ste D, Plainsboro, NJ 08536-3030 | 2019-11-21 |
1265991772 | Interventional Spine and Surgery Group, LLC | Anesthesiology | 8901 Kennedy Blvd Fl 1, North Bergen, NJ 07047-5344 | 2019-03-14 |
1477017929 | Mountainside Pain Management PC | Anesthesiology | 185 Fairfield Ave Ste 2a, West Caldwell, NJ 07006-6417 | 2019-01-29 |
1043786346 | Neurosure | Anesthesiology | 326a 6th St, Saddle Brook, NJ 07663-6306 | 2018-10-15 |
Find all providers with the same taxonomy |
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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.