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DR. LIONEL BISSOON
NPI 1124283825
Physical Medicine & Rehabilitation - Sports Medicine in New York, NY

Active since July 22, 2008Opted out of Medicare · through Apr 30, 2027
10 W 74TH ST, SUITE 1E, NEW YORK, NY 10023(212) 579-9136(212) 579-6917 Get Directions Write a Review

NPPES record last updated: July 22, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Lionel Bissoon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LIONEL BISSOON (NPI 1124283825) is an individual sports medicine provider in New York, New York, licensed in New York (193423) and active in the NPI registry since July 2008. He has opted out of Medicare through April 30, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1124283825
Entity TypeIndividualMale
Primary Taxonomy2081S0010X
Provider Legal NameDR. LIONEL BISSOON
Location Address10 W 74TH ST, SUITE 1ENew York, NY 10023-2403
Mailing Address10 W 74th St, Suite 1eNew York, NY 10023-2403 · (212) 579-9136 · Fax (212) 579-6917
Phone(212) 579-9136
Fax(212) 579-6917
Sole ProprietorYes
Enumeration DateJuly 22, 2008
✔ NPI 1124283825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081S0010X
Licenses✔ Licensed in NY · 193423✔ Licensed in CA · 20A8115✔ Licensed in FL · OS 8296
Definition
A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise.
10 W 74TH ST, New York, NY 10023
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Dr. Lionel Bissoon has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 30, 2015 through April 30, 2027.

Opt-Out Effective DateApril 30, 2015
Opt-Out In Effect ThroughApril 30, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ERIKA TINEL SCHWARTZ MD
Internal Medicine
10 W 74TH ST, SUITE 1A
NEW YORK, NY 10023
New York County (212) 873-3420
MESO MANAGEMENT
General Practice
10 W 74TH ST, SUITE 1E
NEW YORK, NY 10023
New York County (212) 579-9136
DANA G COHEN M.D.
Internal Medicine
10 W 74TH ST, APT. 1D
NEW YORK, NY 10023
New York County (212) 787-1877

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lionel Bissoon's NPI number?

The NPI number for Lionel Bissoon is 1124283825. It was assigned to this individual provider in the NPPES registry on July 22, 2008.

Where is Lionel Bissoon located?

Lionel Bissoon practices at 10 W 74th St Suite 1E, New York, NY 10023. The listed phone number is (212) 579-9136.

What is Lionel Bissoon's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Sports Medicine, with taxonomy code 2081S0010X.

Is Lionel Bissoon enrolled in Medicare?

No. Lionel Bissoon has opted out of Medicare through April 30, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Lionel Bissoon was last updated on July 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.