Spine & Sports Medicine of Lincroft, LLC
NPI 1649832197 · Physical Medicine & Rehabilitation Physician · Lincroft, NJ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Spine & Sports Medicine of Lincroft, LLC is a Physical Medicine & Rehabilitation Physician organization in Lincroft, NJ (NPI 1649832197).
Provider details
- NPI number
- 1649832197
- Entity type
- Organization
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Nicole Fullaway, Director(732) 714-0070
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Physical Therapist225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Acupuncturist171100000X
Other Service Providers
- Chiropractor111N00000X
Chiropractic Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-07-05
- Last updated
- 2024-05-02
- Certified
- 2024-05-02
Frequently asked questions
- What is Spine & Sports Medicine of Lincroft, LLC's NPI number?
- Spine & Sports Medicine of Lincroft, LLC's National Provider Identifier (NPI) is 1649832197, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Spine & Sports Medicine of Lincroft, LLC?
- Spine & Sports Medicine of Lincroft, LLC is classified in the NPPES registry as Physical Medicine & Rehabilitation Physician (Allopathic & Osteopathic Physicians).
- Where is Spine & Sports Medicine of Lincroft, LLC located?
- Spine & Sports Medicine of Lincroft, LLC's practice location on file with NPPES is 5 Swimming River Rd, Lincroft, NJ 07738-1725.
- What is Spine & Sports Medicine of Lincroft, LLC's phone number?
- The practice phone number listed in the NPPES registry for Spine & Sports Medicine of Lincroft, LLC is (324) 514-5787.
- Does Spine & Sports Medicine of Lincroft, LLC accept Medicare?
- Spine & Sports Medicine of Lincroft, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Spine & Sports Medicine of Lincroft, LLC?
- The authorized official listed on Spine & Sports Medicine of Lincroft, LLC's NPPES record is Nicole Fullaway, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Spine & Sports Medicine of Lincroft, LLC's NPI active?
- Yes — Spine & Sports Medicine of Lincroft, LLC's NPI (1649832197) is active in the NPPES registry as of the last update on 2024-05-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.