Provider Demographics
NPI:1790002228
Name:LAPAS, ALKIES (DO)
Entity Type:Individual
Prefix:DR
First Name:ALKIES
Middle Name:
Last Name:LAPAS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:85 FRANKLIN AVE
Mailing Address - Street 2:
Mailing Address - City:NUTLEY
Mailing Address - State:NJ
Mailing Address - Zip Code:07110-3273
Mailing Address - Country:US
Mailing Address - Phone:973-798-2828
Mailing Address - Fax:973-556-1375
Practice Address - Street 1:85 FRANKLIN AVE
Practice Address - Street 2:
Practice Address - City:NUTLEY
Practice Address - State:NJ
Practice Address - Zip Code:07110-3273
Practice Address - Country:US
Practice Address - Phone:973-798-2828
Practice Address - Fax:973-556-1375
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-23
Last Update Date:2020-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2625532085N0700X
CT0501662085N0700X
NJ25MB087799002085N0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085N0700XAllopathic & Osteopathic PhysiciansRadiologyNeuroradiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT1790002228Medicaid
CT3402770OtherUNITED HEALTHCARE
CT050166OtherCONNECTICARE
CTA2354331OtherOXFORD HEALTH PLAN
0630787OtherCIGNA
CT1790002228OtherCOMMUNITY HEALTH NETWORK
CT640048OtherWELLCARE
CT9006795OtherAETNA/US HEALTHCARE
P00994884OtherRAILROAD MEDICARE
CT9006795OtherAETNA/US HEALTHCARE