NPIMap

Individual provider Active NPI

Michael Alphonse Lepis, MD

  • Pain Medicine Physician
  • Manasquan, NJ
National Provider Identifier
1972686079
Registry record updated Mar 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
25MA07363300 Issued in NJ
Practice address
2420 Highway 34
Manasquan, NJ 08736
Phone
(732) 223-2873
Fax
(732) 223-5726
NPI assigned
Oct 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 25MA07363300 NJ
Pain Medicine Physician 208VP0000X 25MA07363300 NJ Primary

Addresses

Primary practice location

2420 Highway 34
Manasquan, NJ 08736

Mailing address

2420 Highway 34
Manasquan, NJ 08736
Phone (732) 223-2873

Other identifiers 11

IdentifierTypeStateIssuer
192671OtherAMERIGROUP
2253382000OtherAMERIHEALTH
8830908MedicaidNJ
4358367OtherCIGNA
73Z641OtherWELLCHOICES
043675325OtherQUALCARE
2K3128OtherHEALTHNET
043675925OtherBLUE CROSS BLUE SHIELD
043675325OtherUNITED HEALTHCARE
P2728923OtherOXFORD
3120203OtherAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060103000725 NJ Practitioner - Pain ManagementPractitioner - Interventional Pain ManagementPractitioner - Physical Medicine and Rehabilitation 1951322189 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Interventional Pain Management
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Toms River Ambulatory Anesthesia LLCGroup PAC ID 5395980775, 13 clinicians

Practice addresses (Care Compare)

1430 Hooper Ave
Toms River, NJ 08753-2895
Phone (732) 240-2277

655 Shrewsbury Ave
Shrewsbury, NJ 07702-4179

Hospital & facility affiliations

  • Monmouth Medical Center Hospital, Long Branch, NJ, CCN 310075
  • Centrastate Medical Center Hospital, Freehold, NJ, CCN 310111
  • Ocean Medical Center Hospital, Brick, NJ, CCN 310052
  • Jersey Shore University Medical Center Hospital, Neptune, NJ, CCN 310073

Merit-based Incentive Payment System (MIPS)

Final score
66.63 of 100Reported as individual
Quality
35
Improvement activities
40
Cost
71.63

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA07363300NJMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Pain Management, LLC Physical Medicine & Rehabilitation CurrentSince Oct 17, 2005 Accepting new patients
Toms River Ambulatory Anesthesia LLC Pain Medicine CurrentSince Oct 1, 2024 Accepting new patients
Comprehensive Pain Management LLC Physical Medicine & Rehabilitation CurrentSince Jun 10, 2002 Accepting new patients
Advanced Surgical Treatment Center, LLC Current Accepting new patients
Toms River Ambulatory Anesthesia LLC CurrentSince Oct 1, 2024 Accepting new patients

Locations

475 Route 70
Ste 202
Lakewood, NJ 08701
Phone (732) 730-3929

2420 Highway 34
Ste A
Manasquan, NJ 08736
Phone (732) 223-2873

2420 Route 34
Manasquan, NJ 08736
Phone (732) 223-2873

379 Campus Dr
Fl 4
Somerset, NJ 08873
Phone (732) 507-6545

1430 Hooper Ave
Toms River, NJ 08753
Phone (732) 240-2277

375 Mount Pleasant Ave
West Orange, NJ 07052
Phone (973) 322-6900

Organizations & group practices 5

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268697600000",
    "number": "1972686079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 HIGHWAY 34",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "08736",
            "telephone_number": "732-223-2873",
            "fax_number": "732-223-5726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 HIGHWAY 34",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "08736",
            "telephone_number": "732-223-2873",
            "fax_number": "732-223-5726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEPIS",
        "first_name": "MICHAEL",
        "middle_name": "ALPHONSE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2010-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "25MA07363300",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NJ",
            "license": "25MA07363300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "192671",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "2253382000",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8830908",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4358367",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCHOICES",
            "identifier": "73Z641",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUALCARE",
            "identifier": "043675325",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "2K3128",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "043675925",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "043675325",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2728923",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3120203",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manasquan, NJ

Sources for this page

Verify at the official NPI Registry.