Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lisa M Micik, PA-C

Individual provider Physician Assistant · NPI 1003826157

Lisa M Micik, PA-C is a Physician Assistant in Paramus, New Jersey. Qualified in 2004, 22 years ago. Practices with Center for Dermatology and Skin Surgery LLC, a 12-clinician group and accepts Medicare assignment. Licensed in New Jersey and New York.

Years since qualifying
22
Licensed in
NJ, NY
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1 W Ridgewood Ave Ste 103
Paramus, NJ 07652-2359
Phone: (201) 857-4200
Fax: (201) 857-4199
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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 MP00136000 (NJ)
Physician Assistant Taxonomy 363A00000X · Licence 010318 (NY)

Record details

NPI number1003826157
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 9, 2006
Last updated in NPPESJune 17, 2014

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Center For Dermatology And Skin Surgery Llc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Paramus