Active NPI
Neal M. Lisann, M.D., P.C.
- Diagnostic Radiology Physician
- Brooklyn, NY
National Provider Identifier
1912004144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- NEAL M. LISANN, M.D., P.C.
- Practice address
- 290 Empire Blvd
Suite 5G
Brooklyn, NY 11225-3551 - Phone
- (718) 953-4000
- Fax
- (718) 953-4001
- NPI assigned
- Sep 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Neal M. Lisann, M.D., M.D.,
- Title
- President
- Phone
- (718) 953-4000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
290 Empire Blvd
Suite 5G
Brooklyn, NY 11225-3551
Mailing address
290 Empire Blvd
Suite 5G
Brooklyn, NY 11225-3551
Phone (718) 953-4000
Other names 1
- Empire Medical Diagnostics
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1191369600000",
"number": "1912004144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "290 EMPIRE BLVD",
"address_2": "SUITE 5G",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112253551",
"telephone_number": "718-953-4000",
"fax_number": "718-953-4001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "290 EMPIRE BLVD",
"address_2": "SUITE 5G",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112253551",
"telephone_number": "718-953-4000",
"fax_number": "718-953-4001"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEAL M. LISANN, M.D., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-20",
"last_updated": "2007-10-03",
"status": "A",
"authorized_official_last_name": "LISANN, M.D.",
"authorized_official_first_name": "NEAL",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-953-4000",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D.,"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Empire Medical Diagnostics",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.