Individual provider Active NPI

Lisa S. Dresner, M.D.

  • Surgery Physician
  • Brooklyn, NY
National Provider Identifier
1538147335
Registry record updated Jan 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
171496-1 Issued in NY
Practice address
450 Clarkson Ave
Mail Stop 40
Brooklyn, NY 11203-2056
Phone
(718) 270-1973
Fax
(718) 270-2686
NPI assigned
Jan 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 171496-1 NY Primary

Addresses

Primary practice location

450 Clarkson Ave
Mail Stop 40
Brooklyn, NY 11203-2056

Mailing address

450 Clarkson Ave
Box 40
Brooklyn, NY 11203-2056
Phone (718) 270-1973

Other identifiers 1

IdentifierTypeStateIssuer
01780670MedicaidNY

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
I20100730000009 NY Practitioner - General Surgery 2062545833 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
State University of Ny Upstate Medical University, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

450 Clarkson Ave
Brooklyn, NY 11203-2012
Phone (718) 270-1422

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
171496-1NYMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Hospital of Brooklyn Suny Downstate Health Sciences Univers CurrentSince Jul 29, 2023 Accepting new patients
University Physicians of Brooklyn, Inc. CurrentSince Jan 1, 2003 Accepting new patients
University Physicians of Brooklyn, Inc. Surgery CurrentSince Jan 1, 2003 Accepting new patients
University Hospital of Brooklyn Suny Downstate Health Sciences Univers CurrentSince Jul 29, 2023 Accepting new patients
University Physicians of Brooklyn, Inc Past Accepting new patients
Suny Downstate Medical Center Past Accepting new patients

Locations

450 Clarkson Ave
#86
Brooklyn, NY 11203
Phone (718) 270-1396

450 Clarkson Ave
Stop 40
Brooklyn, NY 11203
Phone (718) 270-1973

450 Clarkson Ave
#40
Brooklyn, NY 11203
Phone (718) 270-1421

450 Clarkson Ave
Brooklyn, NY 11203
Phone (718) 270-1603

450 Clarkson Ave
#5
Brooklyn, NY 11203
Phone (718) 826-4984

445 Lenox Rd
Brooklyn, NY 11203
Phone (718) 245-4790

470 Clarkson Ave
Brooklyn, NY 11203
Phone (718) 421-1003

Networks

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

Interoperability endpoints

  • Direct secure messaging: lisa.dresner.1@438.direct.athenahealth.com
  • Direct secure messaging: lisadresner@sunydmc.allscriptsdirect.net

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421193600000",
    "number": "1538147335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 CLARKSON AVE",
            "address_2": "BOX 40",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032056",
            "telephone_number": "718-270-1973",
            "fax_number": "718-270-2826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 CLARKSON AVE",
            "address_2": "MAIL STOP 40",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032056",
            "telephone_number": "718-270-1973",
            "fax_number": "718-270-2686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRESNER",
        "first_name": "LISA",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-03",
        "last_updated": "2015-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "171496-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01780670",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.