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

Michelle Walz, PA

Individual provider Physician Assistant · NPI 1043978851

Michelle Walz, PA is a Physician Assistant in Port Jefferson Station, New York. Licensed in New York. Registered with an NPI since 2021.

Licensed in
NY
In the registry since
2021
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

4 Massachusetts Ave
Port Jefferson Station, NY 11776-6100
Phone: (631) 374-6910
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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 005677-1 (NY)

Record details

NPI number1043978851
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 30, 2021
Last updated in NPPESNovember 30, 2021
Certification dateNovember 30, 2021

Other providers in Port Jefferson Station