Individual provider Active NPI

Olivia Alina Welna, PA-C

  • Surgical Physician Assistant
  • New Brunswick, NJ
National Provider Identifier
1073037404
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
25MP00436200 Issued in NJ
Practice address
409 Joyce Kilmer Ave Unit 210
New Brunswick, NJ 08901-3363
Phone
(732) 418-0709
Fax
(732) 317-3064
NPI assigned
Jul 27, 2017
Last updated
Jan 31, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 25MP00436200 NJ Primary

Addresses

Primary practice location

409 Joyce Kilmer Ave Unit 210
New Brunswick, NJ 08901-3363

Mailing address

409 Joyce Kilmer Ave Ste 210
New Brunswick, NJ 08901-3363
Phone (732) 418-0709

Other practice location 1

9 Centre Dr Ste 100
Monroe Township, NJ 08831-5153
Phone (609) 395-5577

Other practice location 2

240 Easton Ave Fl 3
New Brunswick, NJ 08901-1723
Phone (732) 627-2758

Other identifiers 1

IdentifierTypeStateIssuer
14433880OtherNJCAQH ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240212002577 NJ Practitioner - Physician Assistant 9638512189 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Titan Health Partners LLCGroup PAC ID 3971915349, 98 clinicians

Practice addresses (Care Compare)

240 Easton Ave
FL 3
New Brunswick, NJ 08901-1723
Phone (732) 390-7750

620 Cranbury Rd
East Brunswick, NJ 08816-4000
Phone (732) 390-7750

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Titan Health Partners LLC CurrentSince Feb 1, 2024 Accepting new patients
Titan Health Partners LLC CurrentSince Feb 1, 2024 Accepting new patients
Aesthetic Plastic and Reconstructive Surgeons of Central Jersey PA Past Accepting new patients
Titan Health Partners LLC Past Accepting new patients

Locations

629 Cranbury Rd
#2
East Brunswick, NJ 08816
Phone (732) 724-1739

34-36 Progress St
Ste B
Edison, NJ 08820

9 Centre Dr
Ste 100
Monroe Township, NJ 08831
Phone (609) 395-5577

240 Easton Ave
Fl 3
New Brunswick, NJ 08901
Phone (732) 565-5453

Interoperability endpoints

  • Direct secure messaging: owelna59032@epicdirect.rwjbh.org

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 2

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": "1501113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1073037404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 JOYCE KILMER AVE STE 210",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089013363",
            "telephone_number": "732-418-0709",
            "fax_number": "732-317-3064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 JOYCE KILMER AVE UNIT 210",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089013363",
            "telephone_number": "732-418-0709",
            "fax_number": "732-317-3064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9 Centre Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Monroe Township",
            "state": "NJ",
            "postal_code": "088315153",
            "country_code": "US",
            "telephone_number": "609-395-5577",
            "fax_number": "609-395-7955",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "240 Easton Ave Fl 3",
            "address_purpose": "LOCATION",
            "city": "New Brunswick",
            "state": "NJ",
            "postal_code": "089011723",
            "country_code": "US",
            "telephone_number": "732-627-2758",
            "fax_number": "732-846-3323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELNA",
        "first_name": "OLIVIA",
        "middle_name": "ALINA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-27",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NJ",
            "license": "25MP00436200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH ID",
            "identifier": "14433880",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.