# NORTHEAST SPORTS MEDICINE GROUP, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811010549
- **Authorized official:** DR. DIMITRIOS LAMBROU DC (PRESIDENT)
- **Authorized official phone:** (732) 714-0070

## Contact information

- **Practice address:** 1104 ARNOLD AVE, POINT PLEASANT BORO, NJ 08742-2311
- **Practice address phone:** (732) 714-0070
- **Practice address fax:** (732) 714-0188
- **Mailing address:** 1104 ARNOLD AVE, POINT PLEASANT BORO, NJ 08742-2311
- **Mailing address phone:** (732) 714-0070
- **Mailing address fax:** (732) 714-0188

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | MC05775 | NJ | — |
| 171100000X | Acupuncturist | — | NULL | — |
| 171100000X | Acupuncturist | — | — | — |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | — |
| 207X00000X | Orthopaedic Surgery Physician | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | Yes |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NJ | — |

## Other

- **Enumeration date:** 04/09/2007
- **Last updated:** 03/03/2025