Medical Healing Center for Pain

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

25MB09229100 Issued in NJ

Legal business name

MEDICAL HEALING CENTER FOR PAIN

Doing business as

MHCP

Practice address

204 Grove Ave Ste C
West Deptford, NJ 08086-2557

Phone

(856) 537-6427

Fax

(856) 384-2726

NPI assigned

Apr 24, 2017

Last updated

Jun 11, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shannin Dion Lewis, DONPI 1992940670

Title

Ceo

Phone

(856) 537-6427

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MHCP Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shannin Dion Lewis, D.O

  • Physical Medicine & Rehabilitation Physician
  • West Deptford, NJ
  • NPI 1992940670
  Authorized official Same address or phone

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

{
    "created_epoch": "1492992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1942735386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 GROVE AVE STE C",
            "city": "WEST DEPTFORD",
            "state": "NJ",
            "postal_code": "080862557",
            "telephone_number": "856-537-6427",
            "fax_number": "856-384-2726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 GROVE AVE STE C",
            "city": "WEST DEPTFORD",
            "state": "NJ",
            "postal_code": "080862557",
            "telephone_number": "856-537-6427",
            "fax_number": "856-384-2726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL HEALING CENTER FOR PAIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-24",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "SHANNIN",
        "authorized_official_middle_name": "DION",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "856-537-6427",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NJ",
            "license": "25MB09229100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0646466",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MHCP",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MHCP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brent Edward McNamara, MA, LCADC
• Natalie McNamara
• Heather McPaul, MS, LPC, GC-C, ACS
• Timothy McShane, APN
• Lauren Alysia Meade, M.S. ED., CCC-SLP
• Joseph Anthony Megara III, DPM
• Louis P Melchiorre Jr., MD
• Hossam H Messiha, RPH.
• Michael S Rogers MD PA
• Anthony N Mishik, MD

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in West Deptford, NJ
• Providers in West Deptford, NJ by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.