| Spine & Sports Medicine Of Tinton Falls Llc | |
|
4057 Asbury Ave Ste 4, Tinton Falls, NJ 07753-7700 | |
| (732) 333-3099 | |
| (848) 217-7463 |
| Full Name | Spine & Sports Medicine Of Tinton Falls Llc |
|---|---|
| Type | Facility |
| Speciality | Pain Medicine - Interventional Pain Medicine |
| Location | 4057 Asbury Ave Ste 4, Tinton Falls, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801315635 | NPI | - | NPPES |
| Provider Name | Lambros R Lambrou |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1235108838 PECOS PAC ID: 9830178730 Enrollment ID: I20040720000026 |
| Provider Name | Kevin Hsu |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1477740751 PECOS PAC ID: 1153496203 Enrollment ID: I20090909000202 |
| Provider Name | Dustin C Fullaway |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346553807 PECOS PAC ID: 9931395225 Enrollment ID: I20101129000801 |
| Provider Name | Nicole Fullaway |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235442690 PECOS PAC ID: 8426245028 Enrollment ID: I20101208000989 |
| Provider Name | Dimitrios Lambrou |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1184684482 PECOS PAC ID: 1254431695 Enrollment ID: I20120327000830 |
| Provider Name | Alan Guy |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1275859217 PECOS PAC ID: 5092954503 Enrollment ID: I20141003000215 |
| Provider Name | Michael Ra |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1619132123 PECOS PAC ID: 1355658873 Enrollment ID: I20150916001744 |
| Provider Name | Robert Perniola |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982151221 PECOS PAC ID: 8022386127 Enrollment ID: I20170614000304 |
| Provider Name | Brandon B Pollack |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1861917775 PECOS PAC ID: 1254695125 Enrollment ID: I20180430001487 |
| Provider Name | Michael J Verde |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1891910832 PECOS PAC ID: 2567693583 Enrollment ID: I20181113001276 |
| Provider Name | Amber Lynn Quinn |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053908541 PECOS PAC ID: 1456764760 Enrollment ID: I20210106000103 |
| Provider Name | Mina Shenouda |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1538693544 PECOS PAC ID: 8628463395 Enrollment ID: I20220315002266 |
| Provider Name | Bethany Joy Lin |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275243586 PECOS PAC ID: 6103297858 Enrollment ID: I20230117002849 |
| Provider Name | Roy Taborda |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1780188425 PECOS PAC ID: 7911367438 Enrollment ID: I20230717000041 |
| Mailing Address | Practice Location Address |
|---|---|
| Spine & Sports Medicine Of Tinton Falls Llc 4057 Asbury Ave, Store #4, Tinton Falls, NJ 07753-7700 Ph: (732) 333-3099 | Spine & Sports Medicine Of Tinton Falls Llc 4057 Asbury Ave Ste 4, Tinton Falls, NJ 07753-7700 Ph: (732) 333-3099 |