John J Zisa

Primary specialty

PodiatristTaxonomy code 213E00000X

License

003458 Issued in NY

Legal business name

JOHN J ZISA

Practice address

34 E 67TH St
New York, NY 10065-6119

Phone

(212) 288-0080

Fax

(212) 288-3721

NPI assigned

Mar 1, 2007

Organization subpart

No

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

Authorized official

Name

Dr. John Joseph Zisa, D.P.M.NPI 1356338453

Title

Owner

Phone

(212) 288-0080

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• CONSERVATIVE FOOT CARE Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John J Zisa, D.P.M

  • Podiatrist
  • New York, NY
  • NPI 1356338453
  NPD (past) Authorized official

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202083200000",
    "number": "1164550141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 E 67TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100656119",
            "telephone_number": "212-288-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 E 67TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100656119",
            "telephone_number": "212-288-0080",
            "fax_number": "212-288-3721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN J ZISA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2008-02-04",
        "status": "A",
        "authorized_official_last_name": "ZISA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-288-0080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "003458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P481831",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0088694",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "BS668",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "F15937",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CONSERVATIVE FOOT CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Podiatrist in New York, NY
• Providers in New York, NY by specialty
• Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2008; 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.