Jay Willner, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

MD040729E Issued in PA

Practice address

100 N Wilkes Barre Blvd Ste 103
Wilkes Barre, PA 18702-5240

Phone

(570) 846-2720

Fax

(570) 706-9629

NPI assigned

Jul 19, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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 1

Specialty

Obstetrics/Gynecology

Education

Albert Einstein College of Medicine of Yeshiva University, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cleanslate Medical Group of Pennsylvania LLCGroup PAC ID 8426334400, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Cleanslate Medical Group of Pennsylvania LLC

  • Multi-Specialty Clinic/Center
  • Wilkes Barre, PA
  • NPI 1184177263

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Pennsylvania Department of Human Services

  dba Selinsgrove Center

  • Intellectual Disabilities Intermediate Care Facility
  • Selinsgrove, PA
  • NPI 1508849738

  Single Specialty

  NPD (past)
• Pennsylvania Department of Human Services

  dba White Haven Center

  • Intellectual Disabilities Intermediate Care Facility
  • White Haven, PA
  • NPI 1760465454

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1245259027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 OLD ORCHARD LN",
            "city": "MOUNTAIN TOP",
            "state": "PA",
            "postal_code": "187071742",
            "telephone_number": "570-881-0016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N WILKES BARRE BLVD STE 103",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187025240",
            "telephone_number": "570-846-2720",
            "fax_number": "570-706-9629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLNER",
        "first_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "PA",
            "license": "MD040729E",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD040729E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Williams
• Nicole Williams, RN
• Ryan Williams, RN BSN MSN CRNA
• Shauna Williams, PHARM D
• Jennifer Williman, CRNA
• Keith D. Willner, M.D.
• Andrew Wills
• Akaila Wilson, CERTIFIED DOULA
• Cailin Wilson
• Samantha Wilson, PA-C

• Obstetrics & Gynecology Physician in Wilkes Barre, PA
• Providers in Wilkes Barre, PA by specialty
• Obstetrics & Gynecology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.