MR. MICHAEL J LANZISERA (PA-C) – Physician Assistant, NPI 1407890403

MR. MICHAEL J LANZISERA (PA-C) is a healthcare provider. based in Marlton, New Jersey. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 25MP00158200 (NJ). The NPI Number for MR. MICHAEL J LANZISERA (PA-C) is 1407890403

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
MR. MICHAEL J LANZISERA (PA-C)
NPI
1407890403
Phone
(856) 355-0340
Address
301 LIPPINCOTT DR STE 410
Enumeration Date
16 June 2006
Last Update Date
20 June 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2005 (21 years ago)
PAC ID
4880697382
Group Practice PAC ID
9830222397
Professional Enrollment ID
I20060823000513
Address ID
NJ085054517BO3242X206X300

Contacts

Secure Messaging
mlanzisera109122@directvirtua.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

9,689 PHYSICIAN ASSISTANT in PA

Provider Addresses for MR. MICHAEL J LANZISERA (PA-C)

  • 301 LIPPINCOTT DR STE 410

    MARLTON, NJ 080534197

    Phone: (856) 355-0340

    Fax: (856) 355-0330

    Type: Mailing

  • 3401 Civic Center Blvd

    Wood Center- 2nd floor

    Philadelphia, PA 191044319

    Phone: (215) 590-1527

    Fax: (215) 590-1101

    Type: Location

  • 1311 Fairview Blvd Ste B

    Delran, NJ 080751474

    Phone: (856) 764-8804

    Fax: (856) 983-3894

    Type: Location

  • 570 Egg Harbor Rd Ste B1

    Sewell, NJ 080802359

    Phone: (856) 341-8495

    Fax: (856) 341-8496

    Type: Location

  • Children's Hospital of Philadelphia, 3401, Civic Center Boulevard, University City, Philadelphia, Philadelphia County, Pennsylvania, 19104, United States

    THE CHILDREN'S HOSPITAL OF PHILADELPHIA

    PHILADELPHIA, PA 19104

    Phone: (215) 590-1527

    Fax: (215) 590-1101

    Type: Mailing

  • 200 BOWMAN DR STE 140

    VOORHEES, NJ 080439623

    Phone: (856) 983-4263

    Fax: (856) 983-9362

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $14.

Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.

Last reported payment date: 2023-12-12 • Largest payer in this snapshot: Endo Pharmaceuticals Inc. ($14).

Total Amount

$14

General + Research + Ownership

Payments

1

Total payment records

General Amount

$14

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-12

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: 2006-08-23

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
I20060823000513IPhysician 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes8276$0
73110X-ray of wrist, minimum of 3 views2821$0
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 08053)

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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: 9830222397View full group profile

Reviews

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Frequently asked questions

Does MR. MICHAEL J LANZISERA (PA-C) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MR. MICHAEL J LANZISERA (PA-C) uses 1407890403.
Can I rely on MR. MICHAEL J LANZISERA (PA-C) being an active provider?
As of the registry snapshot, MR. MICHAEL J LANZISERA (PA-C) is marked active.
What is MR. MICHAEL J LANZISERA (PA-C)'s specialty?
The listing groups MR. MICHAEL J LANZISERA (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Where should I expect MR. MICHAEL J LANZISERA (PA-C) on a map?
Expect Marlton, New Jersey as a primary anchor for MR. MICHAEL J LANZISERA (PA-C) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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