Jan Zislis, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

039097 Issued in CT

Practice address

3010 Westchester Ave Ste 105
Purchase, NY 10577-2524

Phone

(914) 984-5052

Fax

(914) 574-2348

NPI assigned

May 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

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

Merit-based Incentive Payment System (MIPS)

Final score

90.52 of 100Reported as group

Quality

86.81

Promoting interoperability

100

Improvement activities

40

Cost

77.34

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jzislis7962@direct.ynhh.org

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.

• Greenwich Hospital

  • General Acute Care Hospital
  • Greenwich, CT
  • NPI 1609846088
  Medicare reassignment NPD
• Jan Zislis, M.D., PLLC

  • Internal Medicine Physician
  • Purchase, NY
  • NPI 1295104222
  NPD Authorized official
• Greenwich Hospital

  • Community Based Hospice Care Agency
  • Stanford, CT
  • NPI 1073637724
  NPD
• The Hospital of Central Connecticut at New Britain General and Bradley

  • General Acute Care Hospital
  • New Britain, CT
  • NPI 1053477075
  NPD (past)

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1366492134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 WESTCHESTER AVE STE 105",
            "city": "PURCHASE",
            "state": "NY",
            "postal_code": "105772524",
            "telephone_number": "914-984-5052",
            "fax_number": "914-574-2348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 WESTCHESTER AVE STE 105",
            "city": "PURCHASE",
            "state": "NY",
            "postal_code": "105772524",
            "telephone_number": "914-984-5052",
            "fax_number": "914-574-2348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZISLIS",
        "first_name": "JAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CT",
            "license": "039097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Estelle Wolff, PT
• Carol Lynn Wurzel, MD
• Jacqueline E Wyman, MS, RD, CDN
• Irene Yu, MD
• Linda Yue, M.D.
• Dara Maxine Zweiman

• Emergency Medicine Physician in Purchase, NY
• Providers in Purchase, NY by specialty
• Emergency Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.