# PODELL MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285772889
- **Authorized official:** DR. WENDY KING (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (973) 218-9191

## Contact information

- **Practice address:** 105 MORRIS AVE, SUITE200, SPRINGFIELD, NJ 07081-1327
- **Practice address phone:** (973) 218-9191
- **Practice address fax:** (973) 218-1199
- **Mailing address:** 53 KOSSUTH ST, FIRST FLOOR, SOMERSET, NJ 08873-2660
- **Mailing address phone:** (732) 565-9224
- **Mailing address fax:** (732) 565-9225

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | MA27312 | NJ | — |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |
| 364S00000X | Clinical Nurse Specialist | 26NC04861500 | NJ | — |
| 364SP0809X | Adult Psychiatric/Mental Health Clinical Nurse Specialist | 26NC04861500 | NJ | — |

## Other

- **Enumeration date:** 02/03/2007
- **Last updated:** 09/11/2025
