Individual provider Active NPI

Adam J Lish, MD

  • Ophthalmology Physician
  • Brooklyn, NY
National Provider Identifier
1083711766
Registry record updated Apr 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
189142 Issued in NY
Practice address
1901 Utica Ave
Brooklyn, NY 11234
Phone
(718) 968-8700
Fax
(718) 968-8743
NPI assigned
Sep 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 189142 NY Primary

Addresses

Primary practice location

1901 Utica Ave
Brooklyn, NY 11234

Mailing address

1987 Utica Ave
Brooklyn, NY 11234-3215
Phone (718) 629-5590

Other identifiers 3

IdentifierTypeStateIssuer
01465690MedicaidNY
0147830001OtherNYNHIC
180029303OtherNYRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110307000018 NY Practitioner - Ophthalmology 0547312027 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Boston University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brook Plaza Opthalmology Assoc PCGroup PAC ID 0446141881, 4 clinicians

Practice addresses (Care Compare)

1987 Utica Ave
Brooklyn, NY 11234-3215
Phone (718) 968-8700

Merit-based Incentive Payment System (MIPS)

Final score
92.47 of 100Reported as group
Quality
90.45
Improvement activities
40
Cost
76.8

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery66

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Brook Plaza Opthalmology Assoc PC Ophthalmology CurrentSince Jan 1, 1987 Accepting new patients

Locations

1903 Utica Ave
Brooklyn, NY 11234

1987 Utica Ave
Brooklyn, NY 11234
Phone (718) 629-5590

1901 Utica Ave
Brooklyn, NY 11234
Phone (718) 520-0857

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

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": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493078400000",
    "number": "1083711766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1987 UTICA AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112343215",
            "telephone_number": "718-629-5590",
            "fax_number": "718-629-5590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 UTICA AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11234",
            "telephone_number": "718-968-8700",
            "fax_number": "718-968-8743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISH",
        "first_name": "ADAM",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-17",
        "last_updated": "2017-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "189142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01465690",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NHIC",
            "identifier": "0147830001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180029303",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.