Center for the Functional Restoration of the Spine LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

26NJ00662400 Issued in NJ

Legal business name

CENTER FOR THE FUNCTIONAL RESTORATION OF THE SPINE LLC

Practice address

1131 Broad St Ste 201
Shrewsbury, NJ 07702-4368

Phone

(732) 380-1212

Fax

(732) 380-1372

NPI assigned

May 22, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Steven Antieri

Title

Practice Admin

Phone

(732) 380-1212

Specialties & licenses 1

Addresses

Other names 1

• CFRS Other name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1526947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526947200000",
    "number": "1407347875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 BROAD ST STE 201",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024368",
            "telephone_number": "732-380-1212",
            "fax_number": "732-380-1372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 BROAD ST STE 201",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024368",
            "telephone_number": "732-380-1212",
            "fax_number": "732-380-1372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR THE FUNCTIONAL RESTORATION OF THE SPINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-22",
        "last_updated": "2018-05-22",
        "status": "A",
        "authorized_official_last_name": "ANTIERI",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "PRACTICE ADMIN",
        "authorized_official_telephone_number": "732-380-1212",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00662400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CFRS",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "CFRS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Susan M. Cattermole, LCSW
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• Nurse Practitioner in Shrewsbury, NJ
• Providers in Shrewsbury, NJ by specialty
• Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.