Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kimberley D Michelson-Bandola, PA

Individual provider Surgical Physician Assistant · NPI 1528171485

Kimberley D Michelson-Bandola, PA is a Physician Assistant in Morristown, New Jersey. Qualified in 1993, 33 years ago. Practices with Practice Associates Medical Group, a 1,403-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
33
Licensed in
NJ
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

95 Madison Ave Ste 201 Mid-Atlantic Surgical Associates
Morristown, NJ 07960
Phone: (973) 971-7300
Fax: (973) 984-7019
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence MP165 (NJ)

Record details

NPI number1528171485
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 16, 2006
Last updated in NPPESMarch 12, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Group practice Practice Associates Medical Group — 1403 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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