Active NPI
Lisa Anne Zdinak, M.D.
- Ophthalmology Physician
- New York, NY
National Provider Identifier
1033304779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 234725
- Practice address
- 135 E 74TH St
New York, NY 10021-3272 - Phone
- (212) 799-1411
- Fax
- (212) 288-3746
- NPI assigned
- Sep 6, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 234725 | NY | Primary |
| Ophthalmology Physician | 207W00000X | 25M07927500 | NJ | |
| Ophthalmology Physician | 207W00000X | ME97652 | FL |
Addresses
Primary practice location
135 E 74TH St
New York, NY 10021-3272
Mailing address
135 E 74TH St
New York, NY 10021-3272
Phone (212) 799-1411
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME97652 | FL | MD | Ophthalmology Physician |
| 25M07927500 | NJ | MD | Ophthalmology Physician |
| 234725 | NY | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Jersey Eye Center, P.a. | Ophthalmology | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190678400000",
"number": "1033304779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 E 74TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100213272",
"telephone_number": "212-799-1411",
"fax_number": "212-288-3746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 E 74TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100213272",
"telephone_number": "212-799-1411",
"fax_number": "212-288-3746"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZDINAK",
"first_name": "LISA",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-06",
"last_updated": "2007-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NY",
"license": "234725",
"primary": true
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NJ",
"license": "25M07927500",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "FL",
"license": "ME97652",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.