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JAN ZISLIS, M.D., PLLC
NPI 1295104222
Internal Medicine in Purchase, NY

Active since September 21, 2015CLIA 33D2182216 · Waiver
3010 WESTCHESTER AVE STE 105, PURCHASE, NY 10577(914) 984-5052(914) 574-2348 Get Directions Write a Review

NPPES record last updated: December 28, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jan Zislis, M.d., Pllc NPPES

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

JAN ZISLIS, M.D., PLLC (NPI 1295104222) is a healthcare organization registered as an internal medicine in Purchase, New York and active in the NPI registry since September 2015. The organization holds a CLIA Waiver certificate valid through April 16, 2028 and lists Jan Zislis, Owner/ceo, as its authorized official.

NPPES Registry Identity

NPI1295104222
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameJAN ZISLIS, M.D., PLLC
Location Address3010 WESTCHESTER AVE STE 105Purchase, NY 10577-2524
Mailing Address3010 Westchester Ave Ste 105Purchase, NY 10577-2524 · (914) 984-5052 · Fax (914) 574-2348
Phone(914) 984-5052
Fax(914) 574-2348
Organization SubpartNo
Authorized OfficialJan ZislisOwner/ceo · (914) 984-5052
Enumeration DateSeptember 21, 2015
Last NPPES UpdateDecember 28, 2024
NPPES CertifiedDecember 28, 2024
✔ NPI 1295104222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 221479-1
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3010 WESTCHESTER AVE STE 105, Purchase, NY 10577
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2182216

Jan Zislis MD PLLC Dba Modern Medical Concierge · Purchase, NY
Active · expires Apr 16, 2028
CLIA Number33D2182216
Laboratory TypePhysician Office
Certificate Effective DateApril 17, 2026
Certificate Expiration DateApril 16, 2028
Laboratory DirectorDr. Jan Zislis
Laboratory Phone(914) 984-5052
Laboratory LocationJan Zislis MD PLLC Dba Modern Medical Concierge3010 Westchester Ave Suite 105, Purchase, NY 10577
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

DR. JAN ZISLIS M.D.
Emergency Medicine
3010 WESTCHESTER AVE STE 105
PURCHASE, NY 10577
Westchester County (914) 984-5052

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 Jan Zislis, M.D., PLLC's NPI number?

The NPI number for Jan Zislis, M.D., PLLC is 1295104222. It was assigned to this organization in the NPPES registry on September 21, 2015.

Where is Jan Zislis, M.D., PLLC located?

Jan Zislis, M.D., PLLC is located at 3010 Westchester Ave Ste 105, Purchase, NY 10577. The listed phone number is (914) 984-5052.

What is Jan Zislis, M.D., PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Jan Zislis, M.D., PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2182216) is associated with this NPI, valid through April 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Jan Zislis, M.D., PLLC was last updated on December 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.