Northeast Sports Medicine Group, Pc - Medicare in Point Pleasant Boro, NJ

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Northeast Sports Medicine Group, Pc is a medicare enrolled "Physical Medicine & Rehabilitation - Pain Medicine" provider in Point Pleasant Boro, New Jersey. Their current practice location is 1104 Arnold Ave, Point Pleasant Boro, New Jersey. You can reach out to their office (for appointments etc.) via phone at (732) 714-0070.

Northeast Sports Medicine Group, Pc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Northeast Sports Medicine Group, Pc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1811010549.

Contact Information

Northeast Sports Medicine Group, Pc
1104 Arnold Ave,
Point Pleasant Boro, NJ 08742-2311
(732) 714-0070
(732) 714-0188

Map and Direction




Healthcare Provider's Profile

Full NameNortheast Sports Medicine Group, Pc
TypeFacility
SpecialityPhysical Medicine & Rehabilitation - Pain Medicine
Location1104 Arnold Ave, Point Pleasant Boro, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1811010549
  • Provider Enumeration Date: 04/09/2007
  • Last Update Date: 05/23/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3173580511
  • Enrollment ID: O20041216000750

Medical Identifiers

Medical identifiers for Northeast Sports Medicine Group, Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811010549NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
111N00000XChiropractor MC05775 (New Jersey)Secondary
171100000XAcupuncturist (* (Not Available))Secondary
207X00000XOrthopaedic Surgery (* (Not Available))Secondary
208100000XPhysical Medicine & Rehabilitation (* (Not Available))Secondary
2081P2900XPhysical Medicine & Rehabilitation - Pain Medicine (* (Not Available))Primary
225100000XPhysical Therapist (* (Not Available))Secondary
332B00000XDurable Medical Equipment & Medical Supplies (New Jersey)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Northeast Sports Medicine Group, Pc acts as a billing entity for following providers:
Provider NameDoris A Torres
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1558496166
PECOS PAC ID: 7315904745
Enrollment ID: I20041216000690
Provider NameStacey Franz
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1306018668
PECOS PAC ID: 4789757212
Enrollment ID: I20080717000036
Provider NameKevin Hsu
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1477740751
PECOS PAC ID: 1153496203
Enrollment ID: I20090909000202
Provider NameNicole Fullaway
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1235442690
PECOS PAC ID: 8426245028
Enrollment ID: I20101208000989
Provider NameDimitrios Lambrou
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1184684482
PECOS PAC ID: 1254431695
Enrollment ID: I20120327000830
Provider NameAlan Guy
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1275859217
PECOS PAC ID: 5092954503
Enrollment ID: I20141003000215
Provider NameMichael Ra
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1619132123
PECOS PAC ID: 1355658873
Enrollment ID: I20150916001744
Provider NameKathryn Brungard
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1245718931
PECOS PAC ID: 7113278649
Enrollment ID: I20180924000598
Provider NameMichael J Verde
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1891910832
PECOS PAC ID: 2567693583
Enrollment ID: I20181113001276
Provider NameHeather Sharon Fisch
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1619446648
PECOS PAC ID: 3072858505
Enrollment ID: I20190102002039
Provider NameScott Ringel
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1750947644
PECOS PAC ID: 0941534861
Enrollment ID: I20190627000006
Provider NameMichael Spinelli
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1811524374
PECOS PAC ID: 7214368844
Enrollment ID: I20200514000274
Provider NameTaylor B Bager
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1699361378
PECOS PAC ID: 3779996087
Enrollment ID: I20210106000337
Provider NameAndrea Allsop
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1740879477
PECOS PAC ID: 3375958861
Enrollment ID: I20210216000023
Provider NameLaura Shields
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1952072522
PECOS PAC ID: 3375941537
Enrollment ID: I20211004000029
Provider NameMina Shenouda
Provider TypePractitioner - Interventional Pain Management
Provider IdentifiersNPI Number: 1538693544
PECOS PAC ID: 8628463395
Enrollment ID: I20220315002266
Provider NameNicolette Keale
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1740930403
PECOS PAC ID: 4486040763
Enrollment ID: I20220414000032
Provider NameRoy Taborda
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1780188425
PECOS PAC ID: 7911367438
Enrollment ID: I20230717000041
Provider NameNicholas Benincasa
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1336873231
PECOS PAC ID: 1850752759
Enrollment ID: I20230725001375
Provider NameKyra Leigh Pastorick
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1013792845
PECOS PAC ID: 2466816632
Enrollment ID: I20230907001164
Provider NameCourtney Ann Paciulli
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1477227577
PECOS PAC ID: 3476906587
Enrollment ID: I20240125000183

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Northeast Sports Medicine Group, Pc is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Northeast Sports Medicine Group, Pc
1104 Arnold Ave,
Point Pleasant Boro, NJ 08742-2311

Ph: (732) 714-0070		Northeast Sports Medicine Group, Pc
1104 Arnold Ave,
Point Pleasant Boro, NJ 08742-2311

Ph: (732) 714-0070

Reviews and Comments



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