| Spine & Sports Medicine Of Aberdeen, Llc | |
|
557 S Atlantic Ave, Aberdeen, NJ 07747-2258 | |
| (732) 539-1031 | |
| (732) 415-1403 |
| Full Name | Spine & Sports Medicine Of Aberdeen, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Medicine & Rehabilitation - Sports Medicine |
| Location | 557 S Atlantic Ave, Aberdeen, 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 |
|---|---|---|---|
| 1457708737 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 38MC00719400 (New Jersey) | Secondary |
| 2081S0010X | Physical Medicine & Rehabilitation - Sports Medicine | (* (Not Available)) | Primary |
| Provider Name | Edward K Rodriguez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659595627 PECOS PAC ID: 7719059294 Enrollment ID: I20080627000092 |
| Provider Name | Stacey Franz |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1306018668 PECOS PAC ID: 4789757212 Enrollment ID: I20080717000036 |
| 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 | Jeffrey M Croasdale |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1114326063 PECOS PAC ID: 8527351303 Enrollment ID: I20160804002580 |
| 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 | Priya Sheth |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962939751 PECOS PAC ID: 0244587269 Enrollment ID: I20180723002028 |
| 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 | Daniella Alexis Sosa |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467099119 PECOS PAC ID: 1355776865 Enrollment ID: I20200110000199 |
| Provider Name | John Nicholas Rosalie |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669072849 PECOS PAC ID: 2961813076 Enrollment ID: I20201221000328 |
| Provider Name | Mina Shenouda |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1538693544 PECOS PAC ID: 8628463395 Enrollment ID: I20220315002266 |
| Provider Name | Melanie Wright |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093542151 PECOS PAC ID: 2264963057 Enrollment ID: I20241003003098 |
| Mailing Address | Practice Location Address |
|---|---|
| Spine & Sports Medicine Of Aberdeen, Llc 557 S Atlantic Ave, Aberdeen, NJ 07747-2258 Ph: (732) 539-1031 | Spine & Sports Medicine Of Aberdeen, Llc 557 S Atlantic Ave, Aberdeen, NJ 07747-2258 Ph: (732) 539-1031 |