LISA M MICIK (PA-C) – Physician Assistant, NPI 1003826157
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,578 PHYSICIAN ASSISTANT in NJ
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Provider Addresses for LISA M MICIK (PA-C)
1, Ridgewood Avenue, Paramus, Bergen County, New Jersey, 07652, United States
SUITE 103
PARAMUS, NJ 076522359
Phone: (201) 857-4200
Fax: (201) 857-4199
Type: Location
1 W RIDGEWOOD AVE STE 103
PARAMUS, NJ 076522361
Phone: (201) 857-4200
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 107 Open Payments records for all available years, with a total value of $2,246.
Total Amount is formed as General ($2,246) + Research ($0) + Ownership ($0) = $2,246.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Amgen Inc. ($334).
Total Amount
$2,246
General + Research + Ownership
Payments
107
Total payment records
General Amount
$2,246
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Amgen Inc. | $334 |
| ABBVIE INC. | $322 |
| Medimetriks Pharmaceuticals, Inc. | $250 |
| Galderma Laboratories, L.P. | $195 |
| PFIZER INC. | $142 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2008-04-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080411000270 | I | Physician Assistant | NJ | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 07652)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | NJ | |
| Physician Assistant | NJ | |
| D E R M A T O L O G Y | NJ | |
| Pathology, Dermatology | NJ | |
| D E R M A T O L O G Y | NJ | |
| Physician Assistant | PA | |
| Nurse Practitioner | NJ | |
| Dermatology, Plastic And Reconstructive Surgery | NJ | |
| Physician Assistant | NJ |
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