Active NPI
John J Zisa, D.P.M
- Podiatrist
- New York, NY
National Provider Identifier
1356338453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- N003458
- Practice address
- 34 E 67TH St
Suite 4R
New York, NY 10065-6119 - Phone
- (212) 288-0080
- Fax
- (212) 288-3721
- NPI assigned
- Oct 4, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | N003458 | NY | Primary |
| Podiatrist | 213E00000X | MD01529 | NJ |
Addresses
Primary practice location
34 E 67TH St
Suite 4R
New York, NY 10065-6119
Mailing address
34 E 67TH St
New York, NY 10065-6119
Phone (212) 288-0080
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P481831 | Other | NY | OXFORD |
| 12162 | Other | NJ | AMERIGROUP |
| 0088694 | Other | NY | GHI |
| 0388238000 | Other | NJ | AMERIHEALTH |
| F15937 | Other | NY | HEALTHNET |
| F15937 | Other | NJ | HEALTHNET |
| 16474 | Other | NJ | UNIVERSITY HEALTH PLANS |
| BS688 | Other | NJ | OXFORD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003458 | NY | MD | Behavioral Analyst |
| MD01529 | NJ | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John J Zisa | Podiatrist | Past | Accepting new patients |
| John J Zisa | Podiatrist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Podiatrist
- Paterson, NJ
- NPI 1760660583
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462147200000",
"number": "1356338453",
"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",
"fax_number": "212-288-3721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34 E 67TH ST",
"address_2": "SUITE 4R",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100656119",
"telephone_number": "212-288-0080",
"fax_number": "212-288-3721"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZISA",
"first_name": "JOHN",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "D.P.M",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-04",
"last_updated": "2016-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NY",
"license": "N003458",
"primary": true
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NJ",
"license": "MD01529",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P481831",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "12162",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "0088694",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH",
"identifier": "0388238000",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "F15937",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "F15937",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERSITY HEALTH PLANS",
"identifier": "16474",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "BS688",
"state": "NJ"
}
],
"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 May 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.