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SPINE & SPORTS MEDICINE OF TINTON FALLS LLC
NPI 1801315635
Pain Medicine - Interventional Pain Medicine in Tinton Falls, NJ

Active since September 13, 2017
4057 ASBURY AVE STE 4, TINTON FALLS, NJ 07753(732) 333-3099(848) 217-7463 Get Directions Write a Review

NPPES record last updated: May 9, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 9, 2024, Mar 19, 2018, Dec 15, 2017 and 1 more (4 updates tracked since 2017).

About Spine & Sports Medicine Of Tinton Falls Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SPINE & SPORTS MEDICINE OF TINTON FALLS LLC (NPI 1801315635) is a healthcare organization registered as an interventional pain medicine in Tinton Falls, New Jersey and active in the NPI registry since September 2017. The organization lists Nicole Fullaway, Owner, as its authorized official.

NPPES Registry Identity

NPI1801315635
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameSPINE & SPORTS MEDICINE OF TINTON FALLS LLC
Location Address4057 ASBURY AVE STE 4Tinton Falls, NJ 07753-7700
Mailing Address4057 Asbury Ave, Store #4Tinton Falls, NJ 07753-7700 · (732) 333-3099
Phone(732) 333-3099
Fax(848) 217-7463
Organization SubpartNo
Authorized OfficialNicole FullawayOwner · (609) 505-9090
Enumeration DateSeptember 13, 2017
Last NPPES UpdateMay 9, 20244 updates tracked since enumeration
NPPES CertifiedMay 9, 2024
✔ NPI 1801315635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
Definition

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

Also ListedChiropractorTaxonomy 111N00000X
Also ListedAcupuncturistTaxonomy 171100000X
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X
Also ListedPhysical TherapistTaxonomy 225100000X
4057 ASBURY AVE STE 4, Tinton Falls, NJ 07753
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMBER LYNN QUINN
Occupational Therapist
4057 ASBURY AVE STE 4
TINTON FALLS, NJ 07753
Monmouth County (732) 333-3099
MELISSA MCCONNELL LIAC
Acupuncturist
4057 ASBURY AVE STE 4
TINTON FALLS, NJ 07753
Monmouth County (732) 333-3099

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Spine & Sports Medicine Of Tinton Falls LLC's NPI number?

The NPI number for Spine & Sports Medicine Of Tinton Falls LLC is 1801315635. It was assigned to this organization in the NPPES registry on September 13, 2017.

Where is Spine & Sports Medicine Of Tinton Falls LLC located?

Spine & Sports Medicine Of Tinton Falls LLC is located at 4057 Asbury Ave Ste 4, Tinton Falls, NJ 07753. The listed phone number is (732) 333-3099.

What is Spine & Sports Medicine Of Tinton Falls LLC's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

When was this NPI record last updated?

The NPPES record for Spine & Sports Medicine Of Tinton Falls LLC was last updated on May 9, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.