Active NPI
Michael Viray Lacap, M.D.
- Physical Medicine & Rehabilitation Physician
- Freehold, NJ
National Provider Identifier
1073679502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 25MA07847300
- Practice address
- 20 Thoreau Dr
Poets Square
Freehold, NJ 07728-4329 - Phone
- (732) 303-1425
- NPI assigned
- Dec 29, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 25MA07847300 | NJ | Primary |
| Interventional Pain Medicine Physician | 208VP0014X | 25MA07847300 | NJ |
Addresses
Primary practice location
20 Thoreau Dr
Poets Square
Freehold, NJ 07728-4329
Mailing address
20 Thoreau Dr
Poets Square
Freehold, NJ 07728-4329
Phone (732) 303-1425
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA07847300 | NJ | MD | Interventional Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| King James Care Center of Middletown, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Skilled Nursing Facility
- Middletown, NJ
- NPI 1598764060
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303257600000",
"number": "1073679502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 THOREAU DR",
"address_2": "POETS SQUARE",
"city": "FREEHOLD",
"state": "NJ",
"postal_code": "077284329",
"telephone_number": "732-303-1425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 THOREAU DR",
"address_2": "POETS SQUARE",
"city": "FREEHOLD",
"state": "NJ",
"postal_code": "077284329",
"telephone_number": "732-303-1425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LACAP",
"first_name": "MICHAEL",
"middle_name": "VIRAY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-29",
"last_updated": "2011-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NJ",
"license": "25MA07847300",
"primary": true
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "NJ",
"license": "25MA07847300",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Freehold, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.