Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lisa Beth Kogan, PA

Individual provider Physician Assistant · NPI 1265679708

Lisa Beth Kogan, PA is a Physician Assistant in Wayne, New Jersey. Licensed in New Jersey and New York. Registered with an NPI since 2009.

Licensed in
NJ, NY
In the registry since
2009
Specialties on file
2
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

145 Route 46 W Ste 304
Wayne, NJ 07470-6830
Phone: (973) 826-8299
Fax: (866) 760-4555
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 25MP00187800 (NJ)
Physician Assistant Taxonomy 363A00000X · Licence 011406 (NY)

Record details

NPI number1265679708
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 20, 2009
Last updated in NPPESAugust 2, 2011
Mailing address145 Route 46 W, Suite 304, Wayne, NJ 07470-6830

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