Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Richard Dean Lisman, MD, FACS

Individual provider Specialist · NPI 1043219900

Dr. Richard Dean Lisman, MD, FACS is a Specialist in New York, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
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.
FACS — Fellow of the American College of Surgeons
A surgeon admitted as a fellow of the ACS.

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Practice location Address checks out

635 Park Ave
New York, NY 10021-6546 Not confirmed with CMS for 10 years — call before visiting
Phone: (212) 585-1405
Fax: (212) 585-1408
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmic Plastic and Reconstructive Surgery Physician (primary) Taxonomy 207WX0200X · Licence 131130 (NY)
Specialist Taxonomy 174400000X · Licence 1311301 (NY)
Ophthalmology Physician Taxonomy 207W00000X · Licence 131130 (NY)
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician Taxonomy 2082S0099X · Licence 131130 (NY)

Record details

NPI number1043219900
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , FACS
Sole proprietorYes
NPI enumeratedJuly 21, 2005
Last updated in NPPESApril 29, 2016

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