Nicole Fullaway (NPI# 1235442690, PAC ID# 8426245028) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1235442690 |
| PAC ID by PECOS | 8426245028 |
| Professional Enrollment ID | I20101208000989 |
| Full Name | Nicole Fullaway |
| Organization Legal Name | SPINE AND SPORTS MEDICINE OF FREEHOLD, LLC |
| Address |
501 Iron Bridge Rd Suite 2 Freehold NJ 07728-5305 |
| Phone Number | 7324754959 |
| Gender | F |
| Graduation Year | 2010 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 0749528933 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 501 Iron Bridge Rd, Suite 2, Freehold, NJ 07728-5305 | 7324754959 | SPINE AND SPORTS MEDICINE OF FREEHOLD, LLC |
| 1104 Arnold Ave, A, Point Pleasant Boro, NJ 08742-2311 | 7327140070 | SHORE SPINE CENTER AND PHYSICAL REHABILITATION, PC |
| Organization Legal Name | SPINE AND SPORTS MEDICINE OF FREEHOLD, LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Denise K Maldonado | Physical Therapy | Spine and Sports Medicine of Freehold, LLC | 501 Iron Bridge Rd, Suite 2, Freehold, NJ 07728-5305 |
| Rick Caban | Chiropractic | Spine and Sports Medicine of Freehold, LLC | 501 Iron Bridge Rd, Suite 2, Freehold, NJ 07728-5305 |
| Sandy M Foukarakis | Physician Assistant | Spine and Sports Medicine of Freehold, LLC | 501 Iron Bridge Rd, Suite 2, Freehold, NJ 07728-5305 |
| Street Address |
501 IRON BRIDGE RD SUITE 2 |
| City | FREEHOLD |
| State | NJ |
| Zip | 07728-5305 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Borislava Burt Libo | Obstetrics/gynecology | Regional Womens Health Group LLC | 501 Iron Bridge Rd, Suite 10, Freehold, NJ 07728-5305 |
| Denise K Maldonado | Physical Therapy | Spine and Sports Medicine of Freehold, LLC | 501 Iron Bridge Rd, Suite 2, Freehold, NJ 07728-5305 |
| David J Frank | Neurology | Central Jersey Neurology Associates, P.a. | 501 Iron Bridge Rd, Suite 2, Freehold, NJ 07728-5305 |
| Carlos Figarola | Psychiatry | 501 Iron Bridge Rd, Suite 8, Freehold, NJ 07728-5304 | |
| Mark J Seigel | Obstetrics/gynecology | Back, Seigel, and Goldstein Md, Pa | 501 Iron Bridge Rd, Suite 4, Freehold, NJ 07728-5305 |
| Rick Caban | Chiropractic | Spine and Sports Medicine of Freehold, LLC | 501 Iron Bridge Rd, Suite 2, Freehold, NJ 07728-5305 |
| Svetlana Malkin | Physical Therapy | 501 Iron Bridge Rd, Suite 7, Freehold, NJ 07728-5305 | |
| Norman A Back | Obstetrics/gynecology | Back, Seigel, and Goldstein Md, Pa | 501 Iron Bridge Rd, Suite 4, Freehold, NJ 07728-5305 |
| Jyothi H Rangadhama | Obstetrics/gynecology | Regional Womens Health Group LLC | 501 Iron Bridge Rd, Suite 10, Freehold, NJ 07728-5305 |
| Promila Dhillon | Psychologist, Clinical | 501 Iron Bridge Rd, Suite 8, Freehold, NJ 07728-5305 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jill S Gordon | Qualified Audiologist | 4257 Route 9 N, Blddg 6 Suite B, Freehold, NJ 07728 | |
| Joseph R Raccuglia | Family Medicine | 4251 Us Hwy 9 N, Suite 3a, Freehold, NJ 07728 | |
| Deborah Yu | Plastic and Reconstructive Surgery | The Plastic Surgery Center | 3499 Route 9 N, Freehold, NJ 07728 |
| Ashley T Kravitz | Registered Dietitian Or Nutrition Professional | 4400 Us, 9 Suite 1000, Freehold, NJ 07728-1383 | |
| Sheryl T Schembari | Clinical Social Worker | 4400 Us Hwy 9, Suite 1000, Freehold, NJ 07728-1383 | |
| Lora Rafferty | Nurse Practitioner | Kane Wound Care LLC | 93 Manalapan Ave, Freehold, NJ 07728-1626 |
| Cullen Chiu | Nurse Practitioner | Kane Wound Care LLC | 93 Manalapan Ave, Freehold, NJ 07728-1626 |
| Joseph P Cavorsi | General Surgery | Kane Wound Care LLC | 93 Manalapan Ave, Freehold, NJ 07728-1626 |
| Vinita A Patel | Nurse Practitioner | Kane Wound Care LLC | 93 Manalapan Ave, Freehold, NJ 07728-1626 |
| Valerie J Rosen | Clinical Social Worker | Senior Support Network LLC | 93 Manalapan Ave, Freehold, NJ 07728-1626 |
| Find all physicians in zip 07728 | |||
| City | FREEHOLD |
| Zip Code | 07728 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | FREEHOLD + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Nicole Fullaway.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.