Individual
DR. JOHN J ZISA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M
Contact information
Practice address
34 E 67TH ST, SUITE 4R, NEW YORK, NY 10065-6119
(212) 288-0080
(212) 288-3721
Mailing address
34 E 67TH ST, NEW YORK, NY 10065-6119
(212) 288-0080
(212) 288-3721
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
MD01529
NJ
213E00000X
Podiatrist
Primary
N003458
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0088694
GHI
NY
01
—
0388238000
AMERIHEALTH
NJ
01
—
12162
AMERIGROUP
NJ
01
—
16474
UNIVERSITY HEALTH PLANS
NJ
01
—
BS688
OXFORD
NJ
01
—
F15937
HEALTHNET
NJ
01
—
F15937
HEALTHNET
NY
01
—
P481831
OXFORD
NY
Enumeration date
10/04/2005
Last updated
05/02/2016
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