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

Q: 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.

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: October 18, 2026.

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

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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Spine & Sports Medicine Of Tinton Falls Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 14 clinicians reassign Medicare billing to Spine & Sports Medicine Of Tinton Falls LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 5

Physical Medicine and Rehabilitation5

Chiropractic3

Physical Therapist in Private Practice3

Occupational Therapist in Private Practice2

Interventional Pain Management1

Clinicians, nearest first (14)

Amber Quinn

Occupational Therapist in Private Practice

NPI 1053908541

4057 ASBURY AVE STE 4
Tinton Falls, NJ 07753

(732) 333-3099

✔ Accepts MedicareSame address

Dustin Fullaway, PT

Physical Therapist in Private Practice

NPI 1346553807

1325 WARREN AVE SUITE 5
Spring Lake, NJ 07762

(732) 449-7855

✔ Accepts Medicare5.9 mi

Dimitrios Lambrou, DC

Chiropractic

NPI 1184684482

1104 ARNOLD AVE
Point Pleasant Beach, NJ 08742

(732) 714-0070

✔ Accepts Medicare10 mi

Nicole Fullaway, DPT

Physical Therapist in Private Practice

NPI 1235442690

1104 ARNOLD AVE
Point Pleasant Boro, NJ 08742

(732) 714-0070

✔ Accepts Medicare10 mi

Kevin Hsu, MD

Physical Medicine and Rehabilitation

NPI 1477740751

1104 ARNOLD AVE
Point Pleasant Boro, NJ 08742

(732) 714-0070

✔ PECOS✔ Accepts Medicare10 mi

Mina Shenouda, MD

Interventional Pain Management

NPI 1538693544

1104 ARNOLD AVE
Point Pleasant, NJ 08742

(732) 714-0070

✔ PECOS✔ Accepts Medicare10 mi

Roy Taborda, MD

Physical Medicine and Rehabilitation

NPI 1780188425

1104 ARNOLD AVE
Point Pleasant Boro, NJ 08742

(732) 714-0070

✔ PECOS✔ Accepts Medicare10 mi

Robert Perniola, DPT

Physical Therapist in Private Practice

NPI 1982151221

186 COUNTY ROAD 520 STE 1
Morganville, NJ 07751

(732) 972-6010

✔ Accepts Medicare13 mi

Lambros Lambrou, DC

Chiropractic

NPI 1235108838

728 BENNETTS MILLS RD SUITE 1
Jackson, NJ 08527

(732) 415-1401

✔ Accepts Medicare13 mi

Bethany Lin, OTD, OTR/L

Occupational Therapist in Private Practice

NPI 1275243586

184 US HIGHWAY 9
Englishtown, NJ 07726

(732) 408-4492

✔ Accepts Medicare15 mi

Michael Verde, MD

Physical Medicine and Rehabilitation

NPI 1891910832

367 LAKEHURST RD
Toms River, NJ 08755

(732) 573-6235

✔ PECOS✔ Accepts Medicare21 mi

Brandon Pollack, DC

Chiropractic

NPI 1861917775

137 ATLANTIC CITY BLVD
Beachwood, NJ 08722

(732) 244-0222

✔ Accepts Medicare21 mi

Alan Guy, M.D.

Physical Medicine and Rehabilitation

NPI 1275859217

4056 QUAKERBRIDGE RD SUITE #111
Lawrenceville, NJ 08648

(609) 588-8600

✔ PECOS✔ Accepts Medicare31 mi

Michael Ra, D.O., MPT

Physical Medicine and Rehabilitation

NPI 1619132123

175 GUNNING RIVER RD
Barnegat, NJ 08005

(609) 389-6266

✔ PECOS✔ Accepts Medicare34 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Is Spine & Sports Medicine Of Tinton Falls LLC enrolled in Medicare?

Yes. Spine & Sports Medicine Of Tinton Falls LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Spine & Sports Medicine Of Tinton Falls LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 14 clinicians in 5 Medicare specialties reassign their Medicare billing to Spine & Sports Medicine Of Tinton Falls LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Physical Medicine and Rehabilitation (5), Chiropractic (3) and Physical Therapist in Private Practice (3). Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.