JORDAN M. LISELLA MD – NPI #1720043946
Orthopaedic Surgery

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery.

Health Care Provider Taxonomy Code for Orthopaedic Surgery

JORDAN LISELLA is an orthopaedic surgeon located in ALBANY, NY. NPPES has assigned the NPI number 1720043946 to JORDAN LISELLA on April 19, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI Registry, there are 2 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 207XX0004X from the Health Care Provider Taxonomy code set, which is classified as Orthopaedic Surgery, specializing in Foot and Ankle Surgery

The NPI profile was last updated on Jan 09, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JORDAN LISELLA below.

NPI Profile for
JORDAN M. LISELLA

NPI Number
1720043946
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JORDAN M. LISELLA
Credentials
MD
Primary location
1367 WASHINGTON AVE STE 200
ALBANY, NY 12206-1043
Phone: (518) 489-2666 Fax: (518) 489-5933
2 Other location(s):
4 Medical Park Dr Ste 200
Malta, NY 12020-5004
Phone: (518) 289-2171
Fax: (833) 471-4239
92 East Ave
Saratoga Springs, NY 12866-2615
Phone: (518) 584-0295
Mailing address
1367 WASHINGTON AVE
SUITE 200
ALBANY, NY 12206-1069
Phone: (518) 489-2666 Fax: (518) 489-5933
Sole Proprietor
No
Updated
Certification Date
Jan 09, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for JORDAN LISELLA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidNY02865736
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207XX0004X
- Orthopaedic Surgery / Foot and Ankle Surgery (Primary)		 MI 4301087211

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER - Graduated 2001
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
JORDAN LISELLA is affiliated with the following medical group(s):
  • HOSPITAL
    • ALBANY MEDICAL CENTER HOSPITAL
      43 NEW SCOTLAND AVENUE, MAIL CODE 34
      ALBANY, NY 12208
    • GLENS FALLS HOSPITAL
      100 PARK STREET
      GLENS FALLS, NY 12801
    • SARATOGA HOSPITAL
      211 CHURCH STREET
      SARATOGA SPRINGS, NY 12866

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