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

Dr. Boaz J Lissauer, MD

Individual provider Ophthalmology Physician · NPI 1639173123

Dr. Boaz J Lissauer, MD is an Ophthalmology in New York, New York. Graduated from George Washington University School of Medicine in 1996, 30 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New Jersey and New York.

Years since qualifying
30
Trained at
George Washington University School of Medicine
Licensed in
NJ, NY
In the registry since
2005
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1036 Park Ave Ste 1C
New York, NY 10028-0971
Phone: (212) 717-2150
Fax: (212) 717-2154
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence 208452 (NY)
Ophthalmology Physician Taxonomy 207W00000X · Licence 25MA07699200 (NJ)
Plastic and Reconstructive Surgery Physician Taxonomy 2086S0122X · Licence 25MA07699200 (NJ)
Plastic and Reconstructive Surgery Physician Taxonomy 2086S0122X · Licence 208452 (NY)

Record details

NPI number1639173123
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 13, 2005
Last updated in NPPESJune 25, 2009

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPHTHALMOLOGY
Also practisesPLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolGEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 1996 (30 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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