Organization
COMPREHENSIVE PAIN MANAGEMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ALPHONSE LEPIS MD (OWNER)
(732) 223-2873
Entity
Organization
Contact information
Practice address
2420 HWY 34, MANASQUAN, NJ 08736
(732) 223-2873
(732) 223-5726
Mailing address
2420 HWY 34, MANASQUAN, NJ 08736
(732) 223-2873
(732) 223-5726
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
25MA07363300
NJ
208VP0000X
Pain Medicine Physician
—
—
225100000X
Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
043675925
BLUE CROSS BLUE SHIELD
NJ
01
—
192671
AMERIGROUP
—
01
—
2253382000
AMERIHEALTH
—
01
—
2K3128
HEALTHNET
—
01
—
3120203
AETNA
—
01
—
4358367
CIGNA
—
01
—
73Z641
WELLCHOICE
—
05
—
8830908
—
NJ
01
—
P2728923
OXFORD
—
Enumeration date
08/04/2006
Last updated
03/16/2010
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