# WATERFRONT INSTITUTE FOR SPINE AND JOINT REHABILITATION

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

## Provider details

- **NPI number:** 1700944147
- **Authorized official:** DAVID P PODELL D. C. (PRESIDENT)
- **Authorized official phone:** (201) 840-1980

## Contact information

- **Practice address:** 115 RIVER RD STE 901, EDGEWATER, NJ 07020-1080
- **Practice address phone:** (201) 840-1980
- **Practice address fax:** (201) 840-1987
- **Mailing address:** 115 RIVER RD STE 901, EDGEWATER, NJ 07020-1080
- **Mailing address phone:** (201) 840-1980
- **Mailing address fax:** (201) 840-1987

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | — | — |
| 2085N0700X | Neuroradiology Physician | — | — | — |
| 208D00000X | General Practice Physician | — | — | Yes |
| 208VP0014X | Interventional Pain Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 12/05/2006
- **Last updated:** 10/27/2013