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VICTORIA RITA LIZAK PA
NPI 1164225272
Physician Assistant in Bay Shore, NY

Active since April 01, 2025PECOS EnrolledAccepts Medicare Assignment
2011 UNION BLVD, BAY SHORE, NY 11706(631) 666-2900 Get Directions Write a Review

NPPES record last updated: April 3, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 3, 2026, Apr 1, 2025 (2 updates tracked since 2025).

About Victoria Rita Lizak Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VICTORIA RITA LIZAK PA (NPI 1164225272) is an individual physician assistant in Bay Shore, New York and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1164225272
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameVICTORIA RITA LIZAKCredential: PA
Location Address2011 UNION BLVDBay Shore, NY 11706-8030
Mailing Address230 Park AvenueFlorham Park, NJ 07960 · (516) 477-9900
Phone(631) 666-2900
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateApril 1, 2025
Last NPPES UpdateApril 3, 20262 updates tracked since enumeration
NPPES CertifiedApril 3, 2026
✔ NPI 1164225272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2011 UNION BLVD, Bay Shore, NY 11706
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Victoria Rita Lizak Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID941704985
PECOS Enrollment IDI20250922001569
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11706 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. PAMELA BASUK MD
Dermatology
2011 UNION BLVD, SUITE 1
BAY SHORE, NY 11706
Suffolk County (631) 666-2900
DR. HOWARD CORWIN MD
Dermatology
2011 UNION BLVD
BAY SHORE, NY 11706
Suffolk County (631) 666-2900
BASUK MEDICAL SERVICES PLLC
Dermatology
2011 UNION BLVD, SUITE 1
BAY SHORE, NY 11706
Suffolk County (631) 666-2900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Victoria Lizak's NPI number?

The NPI number for Victoria Lizak is 1164225272. It was assigned to this individual provider in the NPPES registry on April 1, 2025.

Where is Victoria Lizak located?

Victoria Lizak practices at 2011 Union Blvd, Bay Shore, NY 11706. The listed phone number is (631) 666-2900.

What is Victoria Lizak's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Victoria Lizak enrolled in Medicare?

Yes. Victoria Lizak is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Victoria Lizak was last updated on April 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.