NPIMap

Organization Active NPI

Radoslav Jovanovic, MD LLC

  • Specialist
  • New York, NY
National Provider Identifier
1104034040
Registry record updated Jul 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
098582 Issued in NY
Legal business name
RADOSLAV JOVANOVIC, MD LLC
Practice address
930 5TH Ave
New York, NY 10021-2651
Phone
(212) 249-6709
Fax
(212) 472-7214
NPI assigned
May 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2007

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

Authorized official

Name
Dr. Radoslav Jovanovic, MDNPI 1851399521
Title
Proprietor
Phone
(212) 249-6709

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 098582 NY Primary

Addresses

Primary practice location

930 5TH Ave
New York, NY 10021-2651

Mailing address

930 5TH Ave
New York, NY 10021-2651
Phone (212) 249-6709

National Provider Directory

National Provider Directory
Tax ID family
Radoslav Jovanovic MD and Kevin Jovanovic MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184803200000",
    "number": "1104034040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 5TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100212651",
            "telephone_number": "212-249-6709",
            "fax_number": "212-472-7214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 5TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100212651",
            "telephone_number": "212-249-6709",
            "fax_number": "212-472-7214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADOSLAV JOVANOVIC, MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-19",
        "status": "A",
        "authorized_official_last_name": "JOVANOVIC",
        "authorized_official_first_name": "RADOSLAV",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "212-249-6709",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "098582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.