CENTER FOR THE FUNCTIONAL RESTORATION OF THE SPINE LLC (NPI# 1407347875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407347875 |
| Entity Type | Organization |
| Organization Name | CENTER FOR THE FUNCTIONAL RESTORATION OF THE SPINE LLC |
| Other Organization Name | CFRS |
| Practice Address |
1131 Broad St Ste 201 Shrewsbury NJ 07702-4368 |
| Practice Telephone | 7323801212 |
| Practice Fax Number | 7323801372 |
| Mailing Telephone | 7323801212 |
| Mailing Fax Number | 7323801372 |
| Enumeration Date | 2018-05-22 |
| Last Update Date | 2018-05-22 |
| Authorized Official Name | MR. STEVEN ANTIERI (PRACTICE ADMIN) |
| Authorized Official Telephone | 7323801212 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 26NJ00662400 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| CFRS | Other Name - Individual/Organization |
| Street Address |
1131 BROAD ST STE 201 |
| City | SHREWSBURY |
| State | NJ |
| Zip Code | 07702-4368 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477965457 | Courtney Anderson | Psychologist | 40 Avenue At The Cmn Ste 203, Shrewsbury, NJ 07702 | 2014-05-27 |
| 1952723264 | Encore Dental of Shrewsbury | Dentist | 40 Shrewsbury Plaza, Shrewsbury, NJ 07702 | 2014-01-07 |
| 1952503393 | Dana L Essner | Nurse Practitioner | 655 Shrewsbury Ave Ste 206, Shrewsbury, NJ 07702 | 2007-06-05 |
| 1265646764 | Marvin Jeffrey Sher | Dentist | 23 White Street, Shrewsbury, NJ 07702 | 2007-05-10 |
| 1467679076 | Lori A. Magoulas | Dietitian, Registered | 39 Avenue At The Common, Suite 106, Shrewsbury, NJ 07702 | 2007-04-18 |
| 1932247459 | Judith Lorraine Krusell | Psychologist | 322 Sycamore Avenue, Shrewsbury, NJ 07702 | 2007-02-05 |
| 1114070539 | Jessica L Federici | Social Worker | 812 Broad St, Shrewsbury, NJ 07702 | 2007-01-19 |
| 1043363583 | Nursefinders Inc | Home Health | 170 Avenue At The Common, Suite 1, Shrewsbury, NJ 07702 | 2007-01-19 |
| 1598816365 | Mitchell Jeffrey Gardiner | Dentist | 59 Avenue At The Common, Suite 205, Shrewsbury, NJ 07702 | 2007-01-16 |
| 1144383837 | Global Healthcare Alliances, LLC | Skilled Nursing Facility | 39 Ave At The Commons, Suite 206, Shrewsbury, NJ 07702 | 2006-12-18 |
| Find all providers in zip 07702 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033666573 | Courtney Ellenberger | Nurse Practitioner | 1131 Broad Street Suite 201 Building B, Shrewsbury, NJ 07702-4368 | 2016-09-01 |
| 1134432305 | Aileen C Cartier | Nurse Practitioner | 222 Boston Tpke # 224, Route 9, Shrewsbury, MA 01545-5224 | 2010-07-16 |
| 1861045825 | Ioana P Scott | Nurse Practitioner | 89 Avenue At The Cmn, Shrewsbury, NJ 07702-4579 | 2019-07-18 |
| 1235641143 | Glen Edward Ollis | Nurse Practitioner | 378 Maple Ave, Shrewsbury, MA 01545-2673 | 2017-11-01 |
| 1346618808 | Pain Relief Central New Jersey LLC | Nurse Practitioner | 1131 Broad St, 201, Shrewsbury, NJ 07702-4329 | 2015-09-14 |
| 1609205269 | Monmouth County Pain Management & Wellness Center | Nurse Practitioner | 1131 Broad St, Shrewsbury, NJ 07702-4329 | 2013-11-04 |
| 1972578193 | Kathleen M Zarycki | Nurse Practitioner | 604 Main St, Shrewsbury, MA 01545-5663 | 2006-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831790732 | Emine Salif | Nurse Practitioner | 74 Union Ave Apt 4, Clifton, NJ 07011-2673 | 2020-11-06 |
| 1487255766 | Michelle Lynn Portadin | Nurse Practitioner | 19 Oak Glen Ln, Colts Neck, NJ 07722-1612 | 2020-11-04 |
| 1447850490 | Maria Purita Yballe | Nurse Practitioner | 8100 John F. Kennedy Blvd, North Bergen, NJ 07047 | 2020-10-29 |
| 1437756954 | Maria J Tejada | Nurse Practitioner | 1163 Route 37 W Ste D4, Toms River, NJ 08755-4975 | 2020-10-07 |
| 1154938876 | Nancy Phillips | Nurse Practitioner | 202 Lisa Pl, North Brunswick, NJ 08902-5572 | 2020-09-27 |
| 1952914244 | Anna Manioudakis | Nurse Practitioner | 3540 Kennedy Blvd., Jersey City, NJ 07307 | 2020-08-26 |
| 1215547427 | Alison Del Duca | Nurse Practitioner | 10 Redshaw Blvd, Old Bridge, NJ 08857-4331 | 2020-08-03 |
| 1568071173 | Advanced Medical and Wellness Centers L.L.C. | Nurse Practitioner | 65 Newton Sparta Rd, Newton, NJ 07860-2816 | 2020-07-29 |
| 1659995025 | Downbeach Healthcare Consultants | Nurse Practitioner | 303 N Clermont Ave, Margate City, NJ 08402-2029 | 2020-06-02 |
| 1215559695 | Rutgers, School of Nursing-camden Community Health Clinics | Nurse Practitioner | The Branches Health Center, 1700 South 9th Street, Camden, NJ 08104 | 2020-05-08 |
| Find all providers with the same taxonomy | ||||
| City | SHREWSBURY |
| Zip Code | 07702 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.