Princeton Pain Management & Wellness, LLC

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

License

25MB07771400 Issued in NJ

Legal business name

PRINCETON PAIN MANAGEMENT & WELLNESS, LLC

Practice address

3100 Princeton Pike
Suite 1-I
Lawrenceville, NJ 08648-2300

Phone

(609) 895-1030

Fax

(609) 895-1032

NPI assigned

Mar 1, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Robert Leo Wellner, DO

Title

President/Physician

Phone

(610) 442-7807

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1393632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393632000000",
    "number": "1851716781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 PRINCETON PIKE",
            "address_2": "SUITE 1-I",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086482300",
            "telephone_number": "609-895-1030",
            "fax_number": "609-895-1032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 PRINCETON PIKE",
            "address_2": "SUITE 1-I",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086482300",
            "telephone_number": "609-895-1030",
            "fax_number": "609-895-1032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCETON PAIN MANAGEMENT & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-01",
        "last_updated": "2014-03-01",
        "status": "A",
        "authorized_official_last_name": "WELLNER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "LEO",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "610-442-7807",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "NJ",
            "license": "25MB07771400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Princeton Ivf Laboratory LLC
• Princeton Management Services
• Princeton Neuro-Ortho Specialists
• Princeton Pain & Spine Institute PC
• Princeton Pain and Spine Institute PC
• Princeton Perinatal Institute
• Princeton Pike Internal Medicine
• Princeton Pike RX LLC
• Princeton Sports and Family Medicine, P.C.
• Asha Proctor, MD

• Pain Clinic/Center in Lawrenceville, NJ
• Providers in Lawrenceville, NJ by specialty
• Pain Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.