Individual provider Active NPI

Jovan Milos, M.D.

  • Internal Medicine Physician
  • Glendale, NY
National Provider Identifier
1366423295
Registry record updated Sep 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
218660 Issued in NY
Practice address
7128 Cooper Ave
Glendale, NY 11385-7259
Phone
(718) 418-7681
Fax
(718) 417-3570
NPI assigned
Nov 8, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 218660 NY Primary

Addresses

Primary practice location

7128 Cooper Ave
Glendale, NY 11385-7259

Mailing address

7128 Cooper Ave
Glendale, NY 11385-7259
Phone (718) 418-7681

Other identifiers 1

IdentifierTypeStateIssuer
02134412MedicaidNY

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
I20110504000010 NY Practitioner - Internal Medicine 1850576042 Practice locations: Glendale, NY

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1992
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

7128 Cooper Ave
Glendale, NY 11385-7259
Phone (718) 418-7681

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
218660NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Milos Medical PC CurrentSince Oct 2, 2022 Accepting new patients
Wyckoff Heights Medical Center Current Accepting new patients
Pesach Tikvah Hope Development Inc. Past Accepting new patients

Locations

7128 Cooper Ave
Glendale, NY 11385
Phone (516) 972-7520

Networks

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

Interoperability endpoints

  • Direct secure messaging: jovanmilos@whmc.allscriptsdirect.net
  • Direct secure messaging: jovanmilos@milosmed.ssdirect.aprima.com

Organizations & group practices 3

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": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662595200000",
    "number": "1366423295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7128 COOPER AVE",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113857259",
            "telephone_number": "718-418-7681",
            "fax_number": "718-417-3570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7128 COOPER AVE",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113857259",
            "telephone_number": "718-418-7681",
            "fax_number": "718-417-3570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILOS",
        "first_name": "JOVAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-08",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "218660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02134412",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, NY

Sources for this page

Verify at the official NPI Registry.