Maja Mirkovic, RD, CDE, BC-ADM

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

007093 Issued in NY

Practice address

745 5TH Ave Ste 500
New York, NY 10151-0099

Phone

(347) 265-1148

Fax

(855) 817-0064

NPI assigned

Dec 30, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Endocrine Associate of West Village PCGroup PAC ID 7113102591, 12 clinicians

Nutrition Habits PLLCGroup PAC ID 0143751800, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H1722

Interoperability endpoints

• FHIR API: https://epwebapps.acpny.com/FHIRproxy/ACPNY/api/FHIR/R4
• Direct secure messaging: maja.mirkovic@chn.eclinicaldirectplus.com

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.

• Nutrition Habits PLLC

  • Registered Dietitian
  • New York, NY
  • NPI 1396570024

  Dietitian, Registered

  Medicare reassignment Care Compare group NPD Authorized official
• Endocrine Associate of West Village PC

  • Endocrinology, Diabetes & Metabolism Physician
  • Long Island City, NY
  • NPI 1992007819
  Medicare reassignment Care Compare group NPD
• Incontrol Nutrition LLC

  • Registered Dietitian
  • New York, NY
  • NPI 1306314471

  Dietitian, Registered

  Medicare reassignment NPD Authorized official
• Advantagecare Physicians PC

  • General Practice Physician
  • New York, NY
  • NPI 1336578772
  Medicare reassignment NPD
• Advantagecare Physicians PC

  • Internal Medicine Physician
  • Staten Island, NY
  • NPI 1063954113
  NPD

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

{
    "created_epoch": "1419897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1114315033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2944 W 5TH ST APT 14S",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112243844",
            "telephone_number": "347-265-1148",
            "fax_number": "855-817-0064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 5TH AVE STE 500",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101510099",
            "telephone_number": "347-265-1148",
            "fax_number": "855-817-0064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "221 River St Ste 900",
            "address_purpose": "LOCATION",
            "city": "Hoboken",
            "state": "NJ",
            "postal_code": "070305990",
            "country_code": "US",
            "telephone_number": "347-265-1148",
            "fax_number": "855-817-0064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIRKOVIC",
        "first_name": "MAJA",
        "credential": "RD, CDE, BC-ADM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-30",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "007093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00695941",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard Mirin, D.M.D.
• Vassiliki Zoe Mirisis, MD
• Mana Mirjany Banikazemi, PHD
• Marina Mirkin, MD
• Viktoriya Mirkin, PA-C
• Vikranth R Mirle, MD
• Julie Mirliss
• Keana Roya Mirmajlesi, MD
• Benjamin Daniel Mirman, MD
• Lucy A Miro-Quesada, LCSW

• Registered Dietitian in New York, NY
• Providers in New York, NY by specialty
• Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.