Individual provider Active NPI

Eli F Lizza, MD

  • Urology Physician
  • New York, NY
National Provider Identifier
1710958939
Registry record updated Nov 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
1594941 Issued in NY
Practice address
245 E 54TH St
2N
New York, NY 10022-4707
Phone
(212) 570-6800
Fax
(212) 734-7425
NPI assigned
Jan 27, 2006
Last updated
Nov 9, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 1594941 NY Primary

Addresses

Primary practice location

245 E 54TH St
2N
New York, NY 10022-4707

Mailing address

245 E 54TH St
2N
New York, NY 10022-4707
Phone (212) 570-6800

Other identifiers 3

IdentifierTypeStateIssuer
P450137OtherNYOXFORD
3S6291OtherNYEMPIRE BCBS ID
117206POtherNYHIP ID

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
I20051228000445 NY Practitioner - Urology 9537181979 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1594941NYMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC Urology CurrentSince Sep 9, 2019 Accepting new patients

Locations

300 Community Dr
Manhasset, NY 11030

100 E 77th St
New York, NY 10075
Phone (212) 434-2606

972 Brush Hollow Rd
Westbury, NY 11590

222 Westchester Ave
Ste G1
White Plains, NY 10604
Phone (877) 465-4845

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478649600000",
    "number": "1710958939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 E 54TH ST",
            "address_2": "2N",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100224707",
            "telephone_number": "212-570-6800",
            "fax_number": "212-734-7425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 E 54TH ST",
            "address_2": "2N",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100224707",
            "telephone_number": "212-570-6800",
            "fax_number": "212-734-7425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIZZA",
        "first_name": "ELI",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2016-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "1594941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P450137",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BCBS ID",
            "identifier": "3S6291",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP ID",
            "identifier": "117206P",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.