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

Michelle Polyak

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1447961255

Michelle Polyak is a Physician Assistant in Lakewood, New Jersey. Qualified in 2024, 2 years ago. Practices with Medical Director Services PC, a 81-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
2
Licensed in
NJ
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

801 Lexington Ave Apt 4A
Lakewood, NJ 08701-2861
Phone: (610) 715-6567
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 25MP00875900 (NJ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1447961255
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 13, 2022
Last updated in NPPESNovember 11, 2024
Certification dateNovember 11, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Medical Director Services Pc — 81 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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