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

JORDAN LISSAUER ORTHODONTICS PC
NPI 1851945794
Dentist - Orthodontics and Dentofacial Orthopedics in Staten Island, NY

Active since July 29, 2019
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, Jul 29, 2019 (2 updates tracked since 2019).

About Jordan Lissauer Orthodontics Pc NPPES

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

JORDAN LISSAUER ORTHODONTICS PC (NPI 1851945794) is a healthcare organization registered as an orthodontics and dentofacial orthopedics in Staten Island, New York and active in the NPI registry since July 2019. The organization lists Jordan Lissauer, President, as its authorized official.

NPPES Registry Identity

NPI1851945794
Entity TypeOrganization
Primary Taxonomy1223X0400X
Legal Business NameJORDAN LISSAUER ORTHODONTICS PC
Location Address3767 HYLAN BLVDStaten Island, NY 10308-3505
Mailing Address3767 Hylan BlvdStaten Island, NY 10308-3518 · (718) 966-2720
Organization SubpartNo
Authorized OfficialJordan LissauerPresident · (718) 966-2720
Enumeration DateJuly 29, 2019
Last NPPES UpdateAugust 3, 20262 updates tracked since enumeration
NPPES CertifiedAugust 3, 2026
NPI 1851945794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
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

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

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 Orthodontics PC's NPI number?

The NPI number for Jordan Lissauer Orthodontics PC is 1851945794. It was assigned to this organization in the NPPES registry on July 29, 2019.

Where is Jordan Lissauer Orthodontics PC located?

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

What is Jordan Lissauer Orthodontics PC'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 Orthodontics PC accept?

Health plans from UnitedHealthcare list Jordan Lissauer Orthodontics PC 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 Orthodontics PC 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 18 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.