Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

New Jersey Spine and Rehabilitation PC

Organization Specialist · NPI 1801018304

New Jersey Spine and Rehabilitation PC provides Specialist services in Pompton Lakes, New Jersey. Licensed in New Jersey. Registered with an NPI since 2007.

Licensed in
NJ
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

111 Wanaque Ave
Pompton Lakes, NJ 07442 Not confirmed with CMS for 12 years — call before visiting
Phone: (973) 248-8818
Fax: (973) 248-8844
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 25MA06328100 (NJ)

Record details

NPI number1801018304
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Kaul — Administrator · (973) 338-0980
NPI enumeratedMay 3, 2007
Last updated in NPPESJune 17, 2014
Mailing address200 Broadacres Dr., Suite 130, Bloomfield, NJ 07003

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