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

Michaela Bukoski, PA-C

Individual provider Physician Assistant · NPI 1992352199

Michaela Bukoski, PA-C is a Physician Assistant in Wayne, New Jersey. Qualified in 2019, 7 years ago. Practices with Practice Associates Medical Group, a 1,403-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
7
Licensed in
NJ
In the registry since
2019
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1055 Hamburg Tpke Ste 100
Wayne, NJ 07470-3235
Phone: (973) 616-0200
Fax: (973) 616-1792
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 219 S Broad St, Elizabeth, NJ 07202-3453 — (908) 818-1600

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 25MP00539700 (NJ)

Record details

NPI number1992352199
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 22, 2019
Last updated in NPPESOctober 23, 2020
Certification dateOctober 8, 2020
Mailing addressPo Box 416457, Boston, MA 02241-6457

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Practice Associates Medical Group — 1403 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Wayne