Individual provider Active NPI

Naida Dzanic Cemalovic, MD

  • Obstetrics & Gynecology Physician
  • Astoria, NY
National Provider Identifier
1073672218
Registry record updated Dec 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
247839 Issued in NY
Practice address
3016 30TH Dr
Fifth Floor
Astoria, NY 11102-1874
Phone
(718) 545-0003
Fax
(718) 545-0317
NPI assigned
Dec 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 247839 NY Primary

Addresses

Primary practice location

3016 30TH Dr
Fifth Floor
Astoria, NY 11102-1874

Mailing address

625 Main St Apt 337
New York
New York, NY 10044-0033
Phone (917) 731-2536

Other identifiers 2

IdentifierTypeStateIssuer
02464726MedicaidNY
G400000646OtherNYGHI MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050421001503 NY Practitioner - Obstetrics/Gynecology 0547208282 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3016 30TH Dr
FL 5
Astoria, NY 11102-1874
Phone (718) 545-0003

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
002492NYMDAcupuncturist
247839NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Boro Medical, P.C. Obstetrics & Gynecology Past Accepting new patients
Boro Medical, P.C. Past Accepting new patients
Icahn School of Medicine at Mount Sinai Obstetrics & Gynecology PastSince Jan 11, 2017 Accepting new patients
Horizon Medical Group, P.C. PastSince Aug 17, 2025 Accepting new patients
The Parkway Hospital Past Accepting new patients

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419811200000",
    "number": "1073672218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 MAIN ST APT 337",
            "address_2": "NEW YORK",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100440033",
            "telephone_number": "917-731-2536",
            "fax_number": "718-545-0317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3016 30TH DR",
            "address_2": "FIFTH FLOOR",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111021874",
            "telephone_number": "718-545-0003",
            "fax_number": "718-545-0317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CEMALOVIC",
        "first_name": "NAIDA DZANIC",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2014-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "247839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02464726",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI MEDICARE",
            "identifier": "G400000646",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

Verify at the official NPI Registry.