NORTHEAST SPORTS MEDICINE GROUP, PC
NPI 1811010549
Physical Medicine & Rehabilitation - Pain Medicine in Point Pleasant Boro, NJ

Q: What is Northeast Sports Medicine Group, PC's NPI number?

The NPI number for Northeast Sports Medicine Group, PC is 1811010549. It was assigned to this organization in the NPPES registry on April 9, 2007.

Q: What is Northeast Sports Medicine Group, PC's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Active since April 09, 2007

1104 ARNOLD AVE, POINT PLEASANT BORO, NJ 08742(732) 714-0070(732) 714-0188 Get Directions Write a Review

NPPES record last updated: March 3, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 3, 2025, May 11, 2021 (2 updates tracked since 2021).

On this page

About Northeast Sports Medicine Group, Pc NPPES

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

NORTHEAST SPORTS MEDICINE GROUP, PC (NPI 1811010549) is a healthcare organization registered as a pain medicine in Point Pleasant Boro, New Jersey and active in the NPI registry since April 2007. The organization lists Dimitrios Lambrou, President, as its authorized official.

NPPES Registry Identity

NPI1811010549

Entity TypeOrganization

Primary Taxonomy2081P2900X

Legal Business NameNORTHEAST SPORTS MEDICINE GROUP, PC

Location Address1104 ARNOLD AVEPoint Pleasant Boro, NJ 08742-2311

Mailing Address1104 Arnold AvePoint Pleasant Boro, NJ 08742-2311 · (732) 714-0070 · Fax (732) 714-0188

Phone(732) 714-0070

Fax(732) 714-0188

Organization SubpartNo

Authorized OfficialDimitrios LambrouPresident · (732) 714-0070

Enumeration DateApril 9, 2007

Last NPPES UpdateMarch 3, 20252 updates tracked since enumeration

NPPES CertifiedMarch 3, 2025

✔ NPI 1811010549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2081P2900X

Definition

A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.

Also ListedChiropractorTaxonomy 111N00000X · License MC05775 (NJ)

Also ListedAcupuncturistTaxonomy 171100000X

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X

Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X

Also ListedPhysical TherapistTaxonomy 225100000X

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

1104 ARNOLD AVE, Point Pleasant Boro, NJ 08742

Open in Google Maps ↗

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)

Northeast Sports Medicine Group, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 23 clinicians reassign Medicare billing to Northeast Sports Medicine Group, PC, which bills Medicare for the services they deliver. Of these, 13 practice at this address and 18 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 5

Physical Therapist in Private Practice9

Physical Medicine and Rehabilitation6

Chiropractic5

Occupational Therapist in Private Practice2

Interventional Pain Management1

Nearest to this location (20)

See all 23

Andrea Allsop

Physical Therapist in Private Practice

NPI 1740879477

1104 ARNOLD AVE
Point Pleasant Boro, NJ 08742

(732) 714-0070

✔ Accepts MedicareSame address

Heather Fisch

Physical Therapist in Private Practice

NPI 1619446648

1104 ARNOLD AVE
Point Pleasant Boro, NJ 08742

(732) 714-0070

Same address

Stacey Franz, D.O.

Physical Medicine and Rehabilitation

NPI 1306018668

1104 ARNOLD AVE
Point Pleasant Boro, NJ 08742

(732) 714-0070

✔ PECOS✔ Accepts MedicareSame address

Nicole Fullaway, DPT

Physical Therapist in Private Practice

NPI 1235442690

1104 ARNOLD AVE
Point Pleasant Boro, NJ 08742

(732) 714-0070

✔ Accepts MedicareSame address

Kevin Hsu, MD

Physical Medicine and Rehabilitation

NPI 1477740751

1104 ARNOLD AVE
Point Pleasant Boro, NJ 08742

(732) 714-0070

✔ PECOS✔ Accepts MedicareSame address

Briana Kallias

Chiropractic

NPI 1861038358

1104 ARNOLD AVE
Point Pleasant Boro, NJ 08742

(732) 714-0070

✔ Accepts MedicareSame address

Courtney Paciulli, PT,DPT

Physical Therapist in Private Practice

NPI 1477227577

1104 ARNOLD AVE
Point Pleasant Boro, NJ 08742

(732) 714-0070

✔ Accepts MedicareSame address

Scott Ringel

Physical Therapist in Private Practice

NPI 1750947644

1104 ARNOLD AVE
Point Pleasant Boro, NJ 08742

(732) 714-0070

Same address

Mina Shenouda, MD

Interventional Pain Management

NPI 1538693544

1104 ARNOLD AVE
Point Pleasant, NJ 08742

(732) 714-0070

✔ PECOS✔ Accepts MedicareSame address

Laura Shields, MS OTR/L

Occupational Therapist in Private Practice

NPI 1952072522

1104 ARNOLD AVE
Point Pleasant Boro, NJ 08742

(732) 714-0070

✔ Accepts MedicareSame address

Roy Taborda, MD

Physical Medicine and Rehabilitation

NPI 1780188425

1104 ARNOLD AVE
Point Pleasant Boro, NJ 08742

(732) 714-0070

✔ PECOS✔ Accepts MedicareSame address

Doris Torres, PT

Physical Therapist in Private Practice

NPI 1558496166

1104 ARNOLD AVE
Point Pleasant Boro, NJ 08742

(732) 714-0070

✔ Accepts MedicareSame address

Dimitrios Lambrou, DC

Chiropractic

NPI 1184684482

1104 ARNOLD AVE
Point Pleasant Beach, NJ 08742

(732) 714-0070

✔ Accepts MedicareSame address

Kyra Pastorick, DPT

Physical Therapist in Private Practice

NPI 1013792845

3222 BRIDGE AVE
Point Pleasant Boro, NJ 08742

(732) 444-8631

✔ Accepts Medicare1.4 mi

Nicholas Benincasa, DC

Chiropractic

NPI 1336873231

2440 RTE 34 NORTH
Wall, NJ 08736

(732) 612-9948

✔ Accepts Medicare2.6 mi

Imre Homoki

Chiropractic

NPI 1720923790

2440 ROUTE 34
Manasquan, NJ 08736

(732) 653-1000

2.6 mi

Nicolette Keale

Occupational Therapist in Private Practice

NPI 1740930403

2440 ROUTE 34
Manasquan, NJ 08736

(732) 612-9948

✔ Accepts Medicare2.6 mi

Peter Quinn, DPT

Physical Therapist in Private Practice

NPI 1992538391

2440 ROUTE 34
Manasquan, NJ 08736

(732) 612-9948

✔ Accepts Medicare2.6 mi

John Maloney

Physical Therapist in Private Practice

NPI 1215047022

368 LAKEHURST RD SUITE 202
Toms River, NJ 08755

(732) 914-8500

✔ Accepts Medicare12 mi

Michael Verde, MD

Physical Medicine and Rehabilitation

NPI 1891910832

367 LAKEHURST RD
Toms River, NJ 08755

(732) 573-6235

✔ PECOS✔ Accepts Medicare12 mi

See all 23 clinicians

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 Northeast Sports Medicine Group, PC's NPI number?

The NPI number for Northeast Sports Medicine Group, PC is 1811010549. It was assigned to this organization in the NPPES registry on April 9, 2007.

Where is Northeast Sports Medicine Group, PC located?

Northeast Sports Medicine Group, PC is located at 1104 Arnold Ave, Point Pleasant Boro, NJ 08742. The listed phone number is (732) 714-0070.

What is Northeast Sports Medicine Group, PC's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Is Northeast Sports Medicine Group, PC enrolled in Medicare?

Yes. Northeast Sports Medicine Group, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Northeast Sports Medicine Group, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 23 clinicians in 5 Medicare specialties reassign their Medicare billing to Northeast Sports Medicine Group, PC. 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 Therapist in Private Practice (9), Physical Medicine and Rehabilitation (6) and Chiropractic (5). Of these, 13 practice at this address and 18 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 Northeast Sports Medicine Group, PC was last updated on March 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.