DR. JOSEPH MIESSAU (DMSC PA-C) – Physician Assistant, NPI 1407139280

DR. JOSEPH MIESSAU (DMSC PA-C) is a healthcare provider. based in Hackensack, New Jersey. specializing in Physician Assistant. They hold the professional credentials DMSC PA-C. They hold a License No. 25MP00315600 (NJ). The NPI Number for DR. JOSEPH MIESSAU (DMSC PA-C) is 1407139280

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOSEPH MIESSAU (DMSC PA-C)
NPI
1407139280
Phone
(551) 996-2880
Address
30 PROSPECT AVE
Enumeration Date
27 September 2011
Last Update Date
31 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2011 (15 years ago)
PAC ID
3072741669
Group Practice PAC ID
1557260122
Professional Enrollment ID
I20140103000850

Contacts

Secure Messaging
jmiessau102797@directvirtua.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness85
Years active:14State licenses:2Other namesUpdated within 12 months

Provider Addresses for DR. JOSEPH MIESSAU (DMSC PA-C)

  • 30 PROSPECT AVE

    HACKENSACK, NJ 076011915

    Phone: (551) 996-2880

    Fax: (551) 996-5697

    Type: Mailing

  • 111 S 11TH ST

    PHILADELPHIA, PA 191074824

    Phone: (215) 955-6611

    Type: Location

  • 586 N ATLANTIC AVE

    COLLINGSWOOD, NJ 081083424

    Phone:

    Type: Mailing

  • 1 BRACE RD STE H

    CHERRY HILL, NJ 080342600

    Phone:

    Type: Mailing

  • 65 W JIMMIE LEEDS RD

    POMONA, NJ 082409102

    Phone: (609) 748-7089

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $750.

Total Amount is formed as General ($750) + Research ($0) + Ownership ($0) = $750.

Last reported payment date: 2023-08-15 • Largest payer in this snapshot: Medical Device Business Services, Inc. ($400).

Total Amount

$750

General + Research + Ownership

Payments

7

Total payment records

General Amount

$750

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-15

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2014-01-03

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140103000850IPhysician AssistantNJTBD

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.

Verify on CMS Revalidation Lookup Tool

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 07601)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1557260122View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What unique ID ties claims to DR. JOSEPH MIESSAU (DMSC PA-C)?
NPI 1407139280 is assigned to DR. JOSEPH MIESSAU (DMSC PA-C) under the national enumeration system.
Is DR. JOSEPH MIESSAU (DMSC PA-C) currently active in the NPI registry?
CMS-published data lists DR. JOSEPH MIESSAU (DMSC PA-C) as an active registrant.
What kind of provider is DR. JOSEPH MIESSAU (DMSC PA-C)?
The page reflects Physician Assistant for DR. JOSEPH MIESSAU (DMSC PA-C). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. JOSEPH MIESSAU (DMSC PA-C)?
The page summarizes Hackensack, New Jersey for DR. JOSEPH MIESSAU (DMSC PA-C); expand the address list for detail.
How can I contact DR. JOSEPH MIESSAU (DMSC PA-C)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.