Individual provider Active NPI

Jason A Wellner, DPM

  • Foot & Ankle Surgery Podiatrist
  • Wayne, NJ
National Provider Identifier
1851910780
Registry record updated May 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
1851910780 Issued in NJ
Practice address
1700 Route 23 Ste 160
Wayne, NJ 07470-7513
Phone
(973) 944-0226
NPI assigned
Apr 10, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 1851910780 NJ Primary

Addresses

Primary practice location

1700 Route 23 Ste 160
Wayne, NJ 07470-7513

Mailing address

1700 Route 23 Ste 160
Wayne, NJ 07470-7513
Phone (973) 944-0226

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230531001992 NJ Practitioner - Podiatry 6103282587 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1851910780NJMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
New Jersey Foot and Ankle Specialists LLC Foot & Ankle Surgery CurrentSince Jul 1, 2023 Accepting new patients

Locations

1700 Route 23
Ste 160
Wayne, NJ 07470
Phone (973) 944-0226

Interoperability endpoints

  • Direct secure messaging: jwellner270521@direct.ahsys.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1586476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684627200000",
    "number": "1851910780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 ROUTE 23 STE 160",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074707513",
            "telephone_number": "973-944-0226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 ROUTE 23 STE 160",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074707513",
            "telephone_number": "973-944-0226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLNER",
        "first_name": "JASON",
        "middle_name": "A",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-10",
        "last_updated": "2023-05-21",
        "certification_date": "2023-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "1851910780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

Verify at the official NPI Registry.