Karen R Mikala, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

006682 Issued in NY

Practice address

398 Main St
West Orange, NJ 07052-5732

Phone

(646) 242-3600

NPI assigned

Jul 28, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1280275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1902110398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "398 MAIN ST",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070525732",
            "telephone_number": "646-242-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "398 MAIN ST",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070525732",
            "telephone_number": "646-242-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKALA",
        "first_name": "KAREN",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-28",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00230800",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "006682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael K. Seidenstein, MD PA
• Michael Vincent Verdi DPM (Foot Health Center LLC)
• Azieb Michael, RRT
• Regine Michel
• Lorelle Michelson, M.D.
• Michael Constantinos Milano, MD
• Allison Miller, PT, DPT
• Emelie Miller
• Laura Miller
• Lincoln Miller, MD

• Medical Physician Assistant in West Orange, NJ
• Providers in West Orange, 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 Mar 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.