Lisandro Irizarry, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

1885971 Issued in NY

Practice address

121 Dekalb Ave
Brooklyn Hospital Center
Brooklyn, NY 11201

Phone

(718) 250-8000

Fax

(610) 617-6280

NPI assigned

Jul 24, 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

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

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

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.

• Wyckoff Emergency Medicine Services, P.C.

  • Emergency Medicine Physician
  • Brooklyn, NY
  • NPI 1154369783
  Medicare reassignment NPD Authorized official
• Brooklyn Hospital Center - Emergency Department

  • Emergency Medicine Physician
  • Brooklyn, NY
  • NPI 1962435487
  NPD (past) Authorized official
• CMC Radiological Services PC

  • Diagnostic Radiology Physician
  • Elmhurst, NY
  • NPI 1093851990
  NPD (past)
• CMC Radiological Services PC

  • Diagnostic Radiology Physician
  • Jamaica, NY
  • NPI 1285780502
  NPD (past)
• Long Island Emergency Care PC

  • Emergency Medicine Physician
  • Rockville Center, NY
  • NPI 1063464568
  NPD (past)
• The Brooklyn Hospital Center

  • Clinic Pharmacy
  • Brooklyn, NY
  • NPI 1093431850
  NPD (past)
• The Brooklyn Hospital Center

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1467580696
  NPD (past)

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710909510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31724",
            "address_2": "BROOKLYN HOSPITAL CENTER",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061501724",
            "telephone_number": "800-777-2455",
            "fax_number": "610-617-6280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 DEKALB AVE",
            "address_2": "BROOKLYN HOSPITAL CENTER",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11201",
            "telephone_number": "718-250-8000",
            "fax_number": "610-617-6280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRIZARRY",
        "first_name": "LISANDRO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "1885971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01633274",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Benjamin William Irish
• Brianna Irizarry-Aiken
• Joanna Irizarry-Zaraza
• Amanda L Irizarry
• Julio A Irizarry, D.M.D.
• Maria M Irizarry III, RN
• Michael Irlin, DDS
• Ezgi Irmakkesen
• Modupe Iroko, SPECIAL EDUCATION MS
• Olufunmilayo Iroko

• Emergency Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, 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 Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.