Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jordan Lissauer Orthodontics PC

Organization Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1851945794

Jordan Lissauer Orthodontics PC is an Orthodontics and Dentofacial Orthopedics Dentistry in Staten Island, New York. Works from 2 locations. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3767 Hylan Blvd
Staten Island, NY 10308-3505
Phone: (718) 966-2720
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 129 Slosson Ave, Staten Island, NY 10314-2522 — (718) 966-2720

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X

Record details

NPI number1851945794
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jordan Lissauer — President · (718) 966-2720
Other names 103 Orthodontics
NPI enumeratedJuly 29, 2019
Last updated in NPPESAugust 3, 2026
Certification dateAugust 3, 2026
Mailing address3767 Hylan Blvd, Staten Island, NY 10308-3518

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