Organization Active NPI

Asna Wellness Medical OB / GYN PC

  • Obstetrics & Gynecology Physician
  • Astoria, NY
National Provider Identifier
1164655783
Registry record updated Nov 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
247839 Issued in NY
Legal business name
ASNA WELLNESS MEDICAL OB / GYN PC
Practice address
3016 30TH Dr
5TH Floor
Astoria, NY 11102-1874
Phone
(917) 731-2536
NPI assigned
Aug 31, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2016

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

Authorized official

Name
Dr. Naida Dzanic Cemalovic, MDNPI 1073672218
Title
Director
Phone
(917) 731-2536

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
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X 247839 NY Primary

Addresses

Primary practice location

3016 30TH Dr
5TH Floor
Astoria, NY 11102-1874

Mailing address

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091209000493 NY Part B Supplier - Clinic/Group Practice 7214076975 Receives reassigned benefits from 1 practitioner
Practice locations: Astoria, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1251676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479081600000",
    "number": "1164655783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 MAIN ST APT 337",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100440033",
            "telephone_number": "917-731-2536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3016 30TH DR",
            "address_2": "5TH FLOOR",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111021874",
            "telephone_number": "917-731-2536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASNA WELLNESS MEDICAL OB / GYN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-31",
        "last_updated": "2016-11-14",
        "status": "A",
        "authorized_official_last_name": "CEMALOVIC",
        "authorized_official_first_name": "NAIDA DZANIC",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "917-731-2536",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "247839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.