Organization Active NPI

Neal M. Lisann, M.D., P.C.

  • Diagnostic Radiology Physician
  • Brooklyn, NY
National Provider Identifier
1912004144
Registry record updated Oct 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
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

Updated by the provider on Oct 3, 2007

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)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.