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Spine & Sports Medicine of Tinton Falls LLC

Interventional Pain Medicine Physician in Tinton Falls, NJ · enumerated 2017 · authorized official Nicole Fullaway, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1801315635

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Registry record

Entity type Organization (Type 2)
Legal business name Spine & Sports Medicine of Tinton Falls LLC
Practice address 4057 Asbury Ave Ste 4, Tinton Falls, NJ, 07753
Phone (732) 333-3099
Fax (848) 217-7463
Enumeration date Sep 13, 2017
Last updated in NPPES May 9, 2024

Taxonomy & classification

111N00000X Chiropractor Chiropractic Providers Secondary
171100000X Acupuncturist Other Service Providers Secondary
207X00000X Orthopaedic Surgery Physician Allopathic & Osteopathic Physicians Secondary
208100000X Physical Medicine & Rehabilitation Physician Allopathic & Osteopathic Physicians Secondary
208VP0014X Interventional Pain Medicine Physician Allopathic & Osteopathic Physicians Primary
225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary

Authorized official

Name Nicole Fullaway
Title Owner
Phone (609) 505-9090

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2024-05-09. Verify at npiregistry.cms.hhs.gov.
Where is Spine & Sports Medicine of Tinton Falls LLC located?
The practice location on file with NPPES is in Tinton Falls, NJ.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-05-09.