Individual provider · Type 1 NPI

Jordan M. Lisella, MD

Orthopaedic Foot and Ankle Surgery Physician · Albany, NY

NPI number 1720043946 Active

Practice location

1367 Washington Ave Ste 200
Albany, NY 12206-1043

Fax (518) 489-5933

Mailing address

1367 Washington Ave, Suite 200
Albany, NY 12206-1069

Other practice locations

  • 4 Medical Park Dr Ste 200, Malta, NY 12020-5004 · (518) 489-2666
  • 92 East Ave, Saratoga Springs, NY 12866-2615 · (518) 489-2666

Specialties and licenses

TaxonomyCodeLicense
Orthopaedic Foot and Ankle Surgery Physician Primary 207XX0004X4301087211 (MI)

Orthopaedic Foot and Ankle Surgery Physician: 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.

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About NPI 1720043946

Jordan M. Lisella, MD's National Provider Identifier is 1720043946, issued on Apr 19, 2006. The primary taxonomy on file is Orthopaedic Foot and Ankle Surgery Physician (207XX0004X), and the practice location is in Albany, NY. The record was last updated on Oct 12, 2026.