Active NPI
Robert Leo Wellner, DO
- Anesthesiology Physician
- Bethlehem, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- OS011916
- Practice address
- 1461 Colesville Rd
Bethlehem, PA 18015-5221 - Phone
- (610) 442-7807
- Fax
- (609) 895-1032
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 25MB07771400 | NJ | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | OS011916 | PA | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 20A8689 | CA | |
| Anesthesiology Physician | 207L00000X | OS011916 | PA | Primary |
Addresses
Primary practice location
1461 Colesville Rd
Bethlehem, PA 18015-5221
Mailing address
1461 Colesville Rd
Bethlehem, PA 18015-5221
Phone (610) 442-7807
Other identifiers 22
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0094463 | Medicaid | NJ | |
| 22-1994560 | Other | PA | DEVON |
| 50065555 | Other | KEYSTONE HEALTH PLAN CENTRAL | |
| 50078774 | Other | PA | CAPITAL BLUE CROSS |
| 7441837 | Other | PA | AETNA |
| 22-1994560 | Other | PA | HEALTH AMERICA/HEALTH ASSURANCE |
| 2797879000 | Other | AMERIHEALTH | |
| 4729920 | Other | CIGNA HEALTHCARE | |
| P00448881 | Other | RAILROAD MEDICARE | |
| P00661480 | Other | PA | RAILROAD MEDICARE |
| 2261859 | Other | UNITED HEALTHCARE | |
| 2797879000 | Other | INDEPENDENCE BLUE CROSS | |
| 50065555 | Other | CAPITAL BLUE CROSS | |
| 50078774 | Other | PA | KEYSTONE HEALTH PLAN CENTRAL |
| 107840 | Other | GEISINGER HEALTH PLAN | |
| 1537403 | Other | GATEWAY HEALTH PLAN | |
| 22-1994560 | Other | PA | FIRST MCO |
| 22-1994560 | Other | PA | PROCURA MANAGEMENT |
| 113861400 | Other | PA | DEPARTMENT OF LABOR |
| 1928843 | Other | HIGHMARK BLUE SHIELD | |
| 22-1994560 | Other | PA | UNITED HEALTHCARE |
| 2797879000 | Other | KEYSTONE HEALTH PLAN EAST |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1011 US Hwy 22
Suite 203
Bridgewater, NJ 08807-2979
Phone (908) 756-2424
20 Commerce Dr
Suite 135
Cranford, NJ 07016-3614
Phone (888) 589-8550
2851 Baglyos Cir
Suite 100
Bethlehem, PA 18020-8038
Phone (484) 821-0550
561 Cranbury Rd
East Brunswick, NJ 08816-5400
Phone (201) 620-3010
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A8689 | CA | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lehigh Anesthesia Associates, P.C. | Anesthesiology | Current | Accepting new patients |
| Allied Digestive Health, LLC | Anesthesiology | Current | Accepting new patients |
| Physician Anesthesia Services LLC | Pain Medicine | Current | Accepting new patients |
| Campus Eye Group, LLC | Current | Accepting new patients | |
| Campus Eye Group, LLC | Anesthesiology | Current | Accepting new patients |
| New Jersey Anesthesia Services LLC | Anesthesiology | Current | Accepting new patients |
| Campus Eye Group ASC, LLC | Current | Accepting new patients | |
| Apollo Medical Group of Pennsylvania LLC | Anesthesiology | Current | Accepting new patients |
| Performance Medical of Watchung LLC | Current | Accepting new patients | |
| Performance Medical Group of Somerset | Current | Accepting new patients | |
| New Jersey Anesthesia Professionals LLC | Anesthesiology | Current | Accepting new patients |
| Ridley Crossings Surgical Center | Past | Accepting new patients | |
| Pinnacle Mid-Atlantic Anesthesia Associates PC | Anesthesiology | Past | Accepting new patients |
| Cooper Physician Offices, PA | Past | Accepting new patients | |
| Clinical Pain Management Associates, PC | Past | Accepting new patients | |
| Atlantic Coast Gastroenterology Associates | Past | Accepting new patients |
Locations
1011 US Highway 22
Ste 203
Bridgewater, NJ 08807
Phone 9087562424135
1011 US Highway 22
Bridgewater, NJ 08807
20 Commerce Dr
Ste 135
Cranford, NJ 07016
Phone (908) 449-0441
561 Cranbury Rd
East Brunswick, NJ 08816
Phone (201) 620-3010
111 Town Square Pl
Ste 420
Jersey City, NJ 07310
Phone (201) 258-4700
1270 State Route 35
Middletown, NJ 07748
Phone (732) 615-3900
1912 State Route 35
Ste 201
Oakhurst, NJ 07755
Phone (732) 389-5004
42 Throckmorton Ln
Old Bridge, NJ 08857
Phone (732) 607-1111
454 Elizabeth Ave
Somerset, NJ 08873
Phone (732) 319-0132
1700 Whitehorse Hamilton Square Rd
Ste A1
Trenton, NJ 08690
Phone (215) 781-2020
1640 Route 88 W
Ste 202
Wall Township, NJ 08724
Phone (732) 370-2220
459 Watchung Ave
Watchung, NJ 07069
Phone (908) 274-0988
2851 Baglyos Cir
Ste 100
Bethlehem, PA 18020
Phone (484) 821-0550
1553 Chester Pike
Ste 102
Crum Lynne, PA 19022
Phone (484) 487-0369
875 Norman Dr
Lebanon, PA 17042
Phone (717) 272-2010
Organizations & group practices 19
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.
-
- Anesthesiology Physician
- Bethlehem, PA
- NPI 1265256432
-
- Anesthesiology Physician
- Cranford, NJ
- NPI 1689337826
-
- Pain Medicine (Anesthesiology) Physician
- Bridgewater, NJ
- NPI 1811732704
-
- Anesthesiology Physician
- East Brunswick, NJ
- NPI 1063151546
-
- Anesthesiology Physician
- Allentown, PA
- NPI 1508842246
-
- Gastroenterology Physician
- West Long Beach, NJ
- NPI 1265831259
Anesthesiology
-
- Physical Medicine & Rehabilitation Physician
- Somerset, NJ
- NPI 1780287326
-
- Physical Medicine & Rehabilitation Physician
- Watchung, NJ
- NPI 1518477918
-
- Physical Medicine & Rehabilitation Physician
- Branchburg, NJ
- NPI 1679075642
-
- Ophthalmologic Surgery Clinic/Center
- Hamilton SQ, NJ
- NPI 1134101256
-
- Optometrist
- Hamilton Square, NJ
- NPI 1447232913
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704153600000",
"number": "1790862977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1461 COLESVILLE RD",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180155221",
"telephone_number": "610-442-7807",
"fax_number": "609-895-1032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1461 COLESVILLE RD",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180155221",
"telephone_number": "610-442-7807",
"fax_number": "609-895-1032"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLNER",
"first_name": "ROBERT",
"middle_name": "LEO",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2024-01-02",
"certification_date": "2024-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "NJ",
"license": "25MB07771400",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "PA",
"license": "OS011916",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "CA",
"license": "20A8689",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "PA",
"license": "OS011916",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0094463",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEVON",
"identifier": "22-1994560",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE HEALTH PLAN CENTRAL",
"identifier": "50065555",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "50078774",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7441837",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH AMERICA/HEALTH ASSURANCE",
"identifier": "22-1994560",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH",
"identifier": "2797879000",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HEALTHCARE",
"identifier": "4729920",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00448881",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00661480",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "2261859",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENCE BLUE CROSS",
"identifier": "2797879000",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "50065555",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE HEALTH PLAN CENTRAL",
"identifier": "50078774",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEISINGER HEALTH PLAN",
"identifier": "107840",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY HEALTH PLAN",
"identifier": "1537403",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST MCO",
"identifier": "22-1994560",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROCURA MANAGEMENT",
"identifier": "22-1994560",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPARTMENT OF LABOR",
"identifier": "113861400",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "1928843",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "22-1994560",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE HEALTH PLAN EAST",
"identifier": "2797879000",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bethlehem, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; 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.