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Spine & Sports Medicine of Freehold, LLC

Physical Medicine & Rehabilitation Physician in Freehold, NJ · enumerated 2018 · authorized official Nicole Fullaway, Director.

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

National Provider Identifier

1952878019

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Registry record

Entity type Organization (Type 2)
Legal business name Spine & Sports Medicine of Freehold, LLC
Practice address 1050 W Main St, Freehold, NJ, 07728
Phone (732) 475-4959
Fax (732) 780-7139
Enumeration date Oct 26, 2018
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 Primary
225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary

Authorized official

Name Nicole Fullaway
Title Director
Phone (732) 714-0070

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

What type of organization is Spine & Sports Medicine of Freehold, LLC?
Spine & Sports Medicine of Freehold, LLC is registered in NPPES as a Physical Medicine & Rehabilitation Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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