Provider Demographics
NPI:1972912400
Name:COMPREHENSIVE PAIN MANAGEMENT LLC
Entity Type:Organization
Organization Name:COMPREHENSIVE PAIN MANAGEMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:LEPIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-223-2873
Mailing Address - Street 1:2420 HIGHWAY 34
Mailing Address - Street 2:
Mailing Address - City:MANASQUAN
Mailing Address - State:NJ
Mailing Address - Zip Code:08736-1808
Mailing Address - Country:US
Mailing Address - Phone:732-228-2873
Mailing Address - Fax:732-223-5726
Practice Address - Street 1:743 NORTHFIELD AVE
Practice Address - Street 2:SUITE#1
Practice Address - City:WEST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07052-1107
Practice Address - Country:US
Practice Address - Phone:732-223-2873
Practice Address - Fax:732-223-5726
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-08
Last Update Date:2014-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA07363300208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty