Active NPI
Pearl Medical, PC
- Obstetrics Physician
- Astoria, NY
National Provider Identifier
1467792267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics Physician
- License
- 144052
- Legal business name
- PEARL MEDICAL, PC
- Practice address
- 3078 38TH St Apt 1C
Astoria, NY 11103-3805 - Phone
- (718) 721-5515
- Fax
- (718) 721-5531
- NPI assigned
- Feb 15, 2013
- Organization subpart
- Yes
- Parent organization
- PEARL MEDICAL, PC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Milivoje Milosevic, MD
- Title
- President
- Phone
- (718) 721-5515
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics Physician | 207VX0000X | 144052 | NY | Primary |
Addresses
Primary practice location
3078 38TH St Apt 1C
Astoria, NY 11103-3805
Mailing address
3078 38TH St Apt 1C
Astoria, NY 11103-3805
Phone (718) 721-5515
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00533793 | Medicaid | NY |
National Provider Directory
National Provider Directory- Part of
- Pearl Medical PC
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics Physician
- New York, NY
- NPI 1821019720
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360886400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1360886400000",
"number": "1467792267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3078 38TH ST APT 1C",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111033805",
"telephone_number": "718-721-5515",
"fax_number": "718-721-5531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3078 38TH ST APT 1C",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111033805",
"telephone_number": "718-721-5515",
"fax_number": "718-721-5531"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEARL MEDICAL, PC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PEARL MEDICAL, PC",
"enumeration_date": "2013-02-15",
"last_updated": "2013-02-15",
"status": "A",
"authorized_official_last_name": "MILOSEVIC",
"authorized_official_first_name": "MILIVOJE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-721-5515",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207VX0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "NY",
"license": "144052",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00533793",
"state": "NY"
}
],
"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 Feb 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.