Organization Active NPI

Podell Medical Center

  • Nurse Practitioner
  • Springfield, NJ
National Provider Identifier
1285772889
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
PODELL MEDICAL CENTER
Practice address
105 Morris Ave
Suite200
Springfield, NJ 07081-1327
Phone
(973) 218-9191
Fax
(973) 218-1199
NPI assigned
Feb 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Wendy King
Title
Practice Administrator
Phone
(973) 218-9191

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X MA27312 NJ
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X Primary
Clinical Nurse SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 364S00000X 26NC04861500 NJ
Adult Psychiatric/Mental Health Clinical Nurse SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 364SP0809X 26NC04861500 NJ

Addresses

Primary practice location

105 Morris Ave
Suite200
Springfield, NJ 07081-1327

Mailing address

53 Kossuth St
First Floor
Somerset, NJ 08873-2660
Phone (732) 565-9224

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1285772889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 KOSSUTH ST",
            "address_2": "FIRST FLOOR",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088732660",
            "telephone_number": "732-565-9224",
            "fax_number": "732-565-9225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 MORRIS AVE",
            "address_2": "SUITE200",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070811327",
            "telephone_number": "973-218-9191",
            "fax_number": "973-218-1199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PODELL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-03",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "973-218-9191",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA27312",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "364S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist",
            "state": "NJ",
            "license": "26NC04861500",
            "primary": false
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "NJ",
            "license": "26NC04861500",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.