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MATTHEW LISSAK M.D.
NPI 1366570442
Psychiatry & Neurology - Psychiatry in New York, NY

Active since March 01, 2007Opted out of Medicare · through Jun 1, 2027
105 E 63RD ST APT 2B, NEW YORK, NY 10021(212) 838-0707(212) 838-6781 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Matthew Lissak M.d. NPPES

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

MATTHEW LISSAK M.D. (NPI 1366570442) is an individual psychiatry provider in New York, New York, licensed in New York (230099) and active in the NPI registry since March 2007. He has opted out of Medicare through June 1, 2027 and remains eligible to order and refer and is a graduate of Js Weill Medical College, Cornell University (1997).

NPPES Registry Identity

NPI1366570442
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameMATTHEW LISSAKCredential: M.D.
Location Address105 E 63RD ST APT 2BNew York, NY 10021-7328
Mailing Address105 E 63rd St Apt 2bNew York, NY 10021-7328 · (212) 838-0707 · Fax (212) 838-6781
Phone(212) 838-0707
Fax(212) 838-6781
Sole ProprietorYes
Medical School CMSJs Weill Medical College, Cornell UniversityGraduated 1997
Enumeration DateMarch 1, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1366570442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in NY · 230099
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
105 E 63RD ST APT 2B, New York, NY 10021
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Matthew Lissak M.d. 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 June 1, 2013 through June 1, 2027.

Opt-Out Effective DateJune 1, 2013
Opt-Out In Effect ThroughJune 1, 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10021 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$198.19 typical visit price
range $65.69 – $198.19
Typical copayment $49.54 (range $16.42 – $49.54)
Most-billed visit code 99205
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Matthew Lissak's NPI number?

The NPI number for Matthew Lissak is 1366570442. It was assigned to this individual provider in the NPPES registry on March 1, 2007.

Where is Matthew Lissak located?

Matthew Lissak practices at 105 E 63rd St Apt 2B, New York, NY 10021. The listed phone number is (212) 838-0707.

What is Matthew Lissak's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Matthew Lissak enrolled in Medicare?

No. Matthew Lissak has opted out of Medicare through June 1, 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 Matthew Lissak was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.