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

Mr. Michael J Lanzisera, PA-C

Individual provider Physician Assistant · NPI 1407890403

Mr. Michael J Lanzisera, PA-C is a Physician Assistant in Voorhees, New Jersey. Qualified in 2005, 21 years ago. Practices with Virtua Medical Group, PA, a 1,669-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
21
Licensed in
NJ
In the registry since
2006
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

200 Bowman Dr Ste 140
Voorhees, NJ 08043-9623
Phone: (856) 983-4263
Fax: (856) 983-9362
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 (3)

  • 1311 Fairview Blvd Ste B, Delran, NJ 08075-1474 — (856) 764-8804
  • 570 Egg Harbor Rd Ste B1, Sewell, NJ 08080-2359 — (856) 341-8495
  • 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 — (215) 590-1527

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 25MP00158200 (NJ)

Record details

NPI number1407890403
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 16, 2006
Last updated in NPPESJune 20, 2022
Certification dateJune 20, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Virtua Medical Group, Pa — 1669 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

Other providers in Voorhees