Individual provider Active NPI

Kevin Jovanovic, M.D.

  • Maternal & Fetal Medicine Physician
  • New York, NY
National Provider Identifier
1417955980
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
233663 Issued in NY
Practice address
930 5TH Ave
New York, NY 10021-2651
Phone
(212) 249-6709
Fax
(212) 472-7214
NPI assigned
Jul 8, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X 233663 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

Other identifiers 1

IdentifierTypeStateIssuer
02635409MedicaidNY

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
I20041222000269 NY Practitioner - Obstetrics/GynecologyPractitioner - Gynecological OncologyPractitioner - Family Practice 0547228553 Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/GynecologyAlso: Family Practice, Gynecological Oncology
Education
Albert Einstein College of Medicine of Yeshiva University, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

930 5TH Ave
New York, NY 10021-2651

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
233663NYMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radoslav Jovanovic, MD LLC Past Accepting new patients
Lenox Hill Hospital Past Accepting new patients
Radoslav Jovanovic, MD and Kevin Jovanovic, MD PastSince Mar 1, 2020 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kjovanovic67317@northwell.direct-ci.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1417955980",
    "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": {
        "last_name": "JOVANOVIC",
        "first_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "NY",
            "license": "233663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02635409",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.