Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JORDAN LISSAUER DMD
NPI 1730467564
Dentist - Orthodontics and Dentofacial Orthopedics in Staten Island, NY

Active since July 27, 2011
3767 HYLAN BLVD, STATEN ISLAND, NY 10308(718) 966-2720 Get Directions Write a Review

NPPES record last updated: August 3, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 3, 2026, Apr 6, 2020 (2 updates tracked since 2020).

About Jordan Lissauer Dmd NPPES

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

JORDAN LISSAUER DMD (NPI 1730467564) is an individual orthodontics and dentofacial orthopedics provider in Staten Island, New York, licensed in New York (055112) and active in the NPI registry since July 2011.

NPPES Registry Identity

NPI1730467564
Entity TypeIndividualMale
Primary Taxonomy1223X0400X
Provider Legal NameJORDAN LISSAUERCredential: DMD
Location Address3767 HYLAN BLVDStaten Island, NY 10308-3505
Mailing Address3767 Hylan BlvdStaten Island, NY 10308-3505
Sole ProprietorNo
Enumeration DateJuly 27, 2011
Last NPPES UpdateAugust 3, 20262 updates tracked since enumeration
NPPES CertifiedAugust 3, 2026
NPI 1730467564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in NY · 055112
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
3767 HYLAN BLVD, Staten Island, NY 10308

Accepted Insurance

Other Providers at the Same Location NPPES 20

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

Dentist (Orthodontics and Dentofacial Orthopedics)
3767 HYLAN BLVD
STATEN ISLAND, NY 10308
Speech-Language Pathologist
3767 HYLAN BLVD
STATEN ISLAND, NY 10308
Speech-Language Pathologist
3767 HYLAN BLVD
STATEN ISLAND, NY 10308
Speech-Language Pathologist
3767 HYLAN BLVD
STATEN ISLAND, NY 10308
Occupational Therapist
3767 HYLAN BLVD
STATEN ISLAND, NY 10308
Speech-Language Pathologist
3767 HYLAN BLVD
STATEN ISLAND, NY 10308
Speech-Language Pathologist
3767 HYLAN BLVD
STATEN ISLAND, NY 10308
Speech-Language Pathologist
3767 HYLAN BLVD
STATEN ISLAND, NY 10308

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 Jordan Lissauer's NPI number?

The NPI number for Jordan Lissauer is 1730467564. It was assigned to this individual provider in the NPPES registry on July 27, 2011.

Where is Jordan Lissauer located?

Jordan Lissauer practices at 3767 Hylan Blvd, Staten Island, NY 10308. The listed phone number is (718) 966-2720.

What is Jordan Lissauer's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

What insurance does Jordan Lissauer accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 2 other insurers list Jordan Lissauer as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jordan Lissauer was last updated on August 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days 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.