Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LISA M MICIK, PA-C
ActiveLISA M MICIK, PA-C is a Physician Assistant healthcare provider located in PARAMUS, New Jersey. NPI 1003826157 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · PARAMUS, NJ
Registration Details
- NPI Number
- 1003826157
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 9, 2006 (19.980321245509 yrs)
- Last Updated
- Jun 17, 2014
- Licenses
-
010318 (NY)MP00136000 (NJ)
Practice Information
- Address
-
1 W RIDGEWOOD AVESUITE 103PARAMUS, NJ, 076522359Browse NJ providers · Browse ZIP 07652
- Phone
- 2018574200
- Fax
- 2018574199
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in PARAMUS, NJ
| Name | Credential | NPI |
|---|---|---|
| JILL KOSSOVE | P.A. | 1124021589 |
| MRS. DANA M MCGOLDRICK | PA | 1932168184 |
| PNINA BARGAD | — | 1881602233 |
| LYLE D STARK | PA-C | 1306946819 |
| MS. JENNIFER EVE REYES | PA-C | 1548579162 |
| AMANDA DEFEO | PA | 1114274917 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.