Northeast Spine & Sports Medicine | |
557 S Atlantic Ave, Aberdeen, NJ 07747-2258 | |
(732) 539-1031 | |
(732) 415-1403 |
Full Name | Northeast Spine & Sports Medicine |
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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 |
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111N00000X | Chiropractor | 38MC00719400 (New Jersey) | Secondary |
2081S0010X | Physical Medicine & Rehabilitation - Sports Medicine | (* (Not Available)) | Primary |
Provider Name | Edward K Rodriguez |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1659595627 PECOS PAC ID: 7719059294 Enrollment ID: I20080627000092 |
Provider Name | Stacey Franz |
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Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1306018668 PECOS PAC ID: 4789757212 Enrollment ID: I20080717000036 |
Provider Name | Nicole Fullaway |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1235442690 PECOS PAC ID: 8426245028 Enrollment ID: I20101208000989 |
Provider Name | Dimitrios Lambrou |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1184684482 PECOS PAC ID: 1254431695 Enrollment ID: I20120327000830 |
Provider Name | Alan Guy |
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Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1275859217 PECOS PAC ID: 5092954503 Enrollment ID: I20141003000215 |
Provider Name | Jeffrey M Croasdale |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1114326063 PECOS PAC ID: 8527351303 Enrollment ID: I20160804002580 |
Provider Name | Robert Perniola |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1982151221 PECOS PAC ID: 8022386127 Enrollment ID: I20170614000304 |
Provider Name | Priya A Sheth |
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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 |
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Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1891910832 PECOS PAC ID: 2567693583 Enrollment ID: I20181113001276 |
Provider Name | Daniella Alexis Sosa |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1467099119 PECOS PAC ID: 1355776865 Enrollment ID: I20200110000199 |
Provider Name | Mina Shenouda |
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Provider Type | Practitioner - Interventional Pain Management |
Provider Identifiers | NPI Number: 1538693544 PECOS PAC ID: 8628463395 Enrollment ID: I20220315002266 |
Mailing Address | Practice Location Address |
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Northeast Spine & Sports Medicine 557 S Atlantic Ave, Aberdeen, NJ 07747-2258 Ph: (732) 539-1031 | Northeast Spine & Sports Medicine 557 S Atlantic Ave, Aberdeen, NJ 07747-2258 Ph: (732) 539-1031 |