Shira Verschleiser, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

25MP00300100 Issued in NJ

Practice address

150 James St
Lakewood, NJ 08701-4101

Phone

(732) 363-4003

Fax

(732) 363-4447

NPI assigned

Dec 30, 2012

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1356825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1174869754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 JAMES ST",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087014101",
            "telephone_number": "732-363-4003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 JAMES ST",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087014101",
            "telephone_number": "732-363-4003",
            "fax_number": "732-363-4447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERSCHLEISER",
        "first_name": "SHIRA",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-30",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "25MP00300100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Medical Physician Assistant in Lakewood, NJ
• Providers in Lakewood, NJ by specialty
• Medical Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.