Maja Ilic, M.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

259249 Issued in NY

Practice address

210 N Central Ave Ste 250
Hartsdale, NY 10530-1949

Phone

(914) 358-1162

Fax

(914) 368-8343

NPI assigned

Jun 17, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Neurology

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

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

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.

• Pediatric Neurology PC

  • Neurology with Special Qualifications in Child Neurology Physician
  • Hartsdale, NY
  • NPI 1124573522

  Multi-Specialty

  Medicare reassignment NPD Authorized official
• Greater Ny Neurology PC

  • Neurology Physician
  • Brooklyn, NY
  • NPI 1073947156

  Multi-Specialty

  Medicare reassignment NPD
• SJ All Medical PC

  • Clinical Neurophysiology Physician
  • Valley Stream, NY
  • NPI 1750793642

  Multi-Specialty

  Medicare reassignment NPD
• Complete Neurological Care PC

  • Neurology Physician
  • Forest Hills, NY
  • NPI 1962775882
  Medicare reassignment
• Madison Medical Practice P.C.

  • Internal Medicine Physician
  • New York, NY
  • NPI 1871751735

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1276732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693526400000",
    "number": "1255652863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 MURRAY HILL RD",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105832804",
            "telephone_number": "914-358-1162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N CENTRAL AVE STE 250",
            "city": "HARTSDALE",
            "state": "NY",
            "postal_code": "105301949",
            "telephone_number": "914-358-1162",
            "fax_number": "914-368-8343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILIC",
        "first_name": "MAJA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-17",
        "last_updated": "2023-09-01",
        "certification_date": "2023-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "NY",
            "license": "259249",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "259249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Andrea Hurd, MA. CCC-SLP
• Shawnlee P Hutchinson-Mitchell, APRN, FNP
• Robert Myung-Chong Hwang, D.D.S.
• Gavin Hynes
• Andres Ibanez-Lombo, DDS
• Myoung Im, LAC
• Amruta Inamdar, PT,DPT
• Heather L Ineson
• Integrated Medical Professionals PLLC
• Ira Davis, MD, PLLC

• Neurology Physician in Hartsdale, NY
• Providers in Hartsdale, NY by specialty
• Neurology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.