Doctor profile · Federal record
Dr. Jordan Lissauer, DMD
Orthodontics and Dentofacial Orthopedic Dentist · Staten Island, NY
- NPI 1730467564
- 15 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
3767 Hylan Blvd
Staten Island, NY 103083505
(718) 966-2720
Credentials & registration
- NPI registered
- July 2011 — 15 yrs on file
- Profile last updated
- April 6, 2020
- Specialty taxonomy
- 1223X0400X — NUCC code
- State license (1)
- New York #055112
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1730467564. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$170
Transactions
2
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Inspire Medical Systems, Inc. | 1 | $95.25 | |
| Align Technology, Inc. | 1 | $75.00 |
By nature of payment
Frequently asked questions
What is Dr. Jordan Lissauer's medical specialty?
Dr. Jordan Lissauer practices Orthodontics and Dentofacial Orthopedic Dentist in Staten Island, NY.
Where does Dr. Jordan Lissauer practice?
Dr. Jordan Lissauer practices at 3767 Hylan Blvd, Staten Island, NY 103083505. Office phone: 7189662720.
What is Dr. Jordan Lissauer's NPI?
Dr. Jordan Lissauer's National Provider Identifier (NPI) is 1730467564, issued by NPPES.