| Spine & Sports Medicine Of Lincroft, Llc | |
|
5 Swimming River Rd, Lincroft, NJ 07738-1725 | |
| (324) 514-5787 | |
| (732) 530-3561 |
| Full Name | Spine & Sports Medicine Of Lincroft, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Medicine & Rehabilitation |
| Location | 5 Swimming River Rd, Lincroft, 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 |
|---|---|---|---|
| 1649832197 | 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 | 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 | Robert Perniola |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982151221 PECOS PAC ID: 8022386127 Enrollment ID: I20170614000304 |
| Provider Name | Jennifer L Malloy |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1144714833 PECOS PAC ID: 3779839113 Enrollment ID: I20180627002814 |
| 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 | Heather Sharon Fisch |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619446648 PECOS PAC ID: 3072858505 Enrollment ID: I20190102002039 |
| Provider Name | Rick Caban |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1417511304 PECOS PAC ID: 6305170457 Enrollment ID: I20190625000478 |
| Provider Name | Taylor B Bager |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699361378 PECOS PAC ID: 3779996087 Enrollment ID: I20210106000337 |
| Provider Name | Andrea Allsop |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740879477 PECOS PAC ID: 3375958861 Enrollment ID: I20210216000023 |
| Provider Name | Mina Shenouda |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1538693544 PECOS PAC ID: 8628463395 Enrollment ID: I20220315002266 |
| Provider Name | Madelyn Black |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356079065 PECOS PAC ID: 6507241395 Enrollment ID: I20220914003115 |
| Provider Name | Alyssa Diaz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366025900 PECOS PAC ID: 1153706536 Enrollment ID: I20220921002260 |
| Provider Name | Roy Taborda |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1780188425 PECOS PAC ID: 7911367438 Enrollment ID: I20230717000041 |
| Provider Name | Alexandra Raguseo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770360083 PECOS PAC ID: 0840644290 Enrollment ID: I20231003004008 |
| Mailing Address | Practice Location Address |
|---|---|
| Spine & Sports Medicine Of Lincroft, Llc 3 Swimming River Rd, Lincroft, NJ 07738-1725 Ph: (732) 653-1000 | Spine & Sports Medicine Of Lincroft, Llc 5 Swimming River Rd, Lincroft, NJ 07738-1725 Ph: (324) 514-5787 |