Active NPI
Naa Wellington
- Pharmacist
- Bayonne, NJ
National Provider Identifier
1619386612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI03423100
- Practice address
- 1097 Broadway
Bayonne, NJ 07002-4126 - Phone
- (201) 436-6831
- NPI assigned
- Aug 5, 2014
- Last updated
- Aug 19, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 53028 | TX | |
| Pharmacist | 183500000X | 28RI03423100 | NJ | Primary |
Addresses
Primary practice location
1097 Broadway
Bayonne, NJ 07002-4126
Mailing address
5764 Tennessee 153
Hixson, TN 37343
Phone (423) 870-3267
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53028 | TX | MD | Clinical Social Worker |
| 28RI03423100 | NJ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755561600000",
"number": "1619386612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5764 TENNESSEE 153",
"city": "HIXSON",
"state": "TN",
"postal_code": "37343",
"telephone_number": "423-870-3267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1097 BROADWAY",
"city": "BAYONNE",
"state": "NJ",
"postal_code": "070024126",
"telephone_number": "201-436-6831"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLINGTON",
"first_name": "NAA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-08-05",
"last_updated": "2025-08-19",
"certification_date": "2025-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "53028",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI03423100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bayonne, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.