WATERFRONT INSTITUTE FOR SPINE AND JOINT REHABILITATION NPI 1700944147

NPI Information

NPI: 1700944147
Provider Name: WATERFRONT INSTITUTE FOR SPINE AND JOINT REHABILITATION
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
115 RIVER RD STE 901
EDGEWATER, NJ
ZIP 07020
Phone: (201) 840-1980
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WATERFRONT INSTITUTE FOR SPINE AND JOINT REHABILITATION is a general practice in Edgewater, NJ. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee WATERFRONT INSTITUTE FOR SPINE AND JOINT REHABILITATION NPI is 1700944147. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

115 RIVER RD STE 901
EDGEWATER, NJ
ZIP 07020-080
Phone: (201) 840-1980
Fax: (201) 840-1987

The provider's authorized official is David P Podell .
The authorized official title is President and has the following contact phone number (201) 840-1980.

The enumeration date for this NPI number is 12/5/2006 and was last updated on 10/27/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	208VP0014X	Pain Medicine	Interventional Pain Medicine	No
2	111N00000X	Chiropractor		No
3	2085N0700X	Radiology	Neuroradiology	No
4	208D00000X	General Practice		Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	6495280001	MEDICARE NSC	NEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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