Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Tzivya Shima Weiss-Lustiger, MD

Individual provider Diagnostic Radiology Physician · NPI 1891283446

MS. Tzivya Shima Weiss-Lustiger, MD is a Diagnostic Radiology in Staten Island, New York. Graduated from State University of New York Downstate Medical Center in 2018, 8 years ago. Practices with Southside Faculty Medical Affiliates University Faculty Practice Corp, a 223-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
8
Trained at
State University of New York Downstate Medical Center
Licensed in
NY
In the registry since
2018
Specialties on file
2
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

475 Seaview Ave
Staten Island, NY 10305-3436
Phone: (718) 226-9000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 327910 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1891283446
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 30, 2018
Last updated in NPPESSeptember 16, 2024
Certification dateSeptember 16, 2024

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolSTATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduated 2018 (8 years in practice)
Group practice Southside Faculty Medical Affiliates University Faculty Practice Corp — 223 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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