Miodrag Ristich, M.D.

Primary specialty

Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X

License

111075 Issued in NY

Practice address

201 E 79TH St
Suite 7J
New York, NY 10021-0830

Phone

(212) 737-6990

Fax

(212) 988-3103

NPI assigned

Jan 24, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• The Mental Health Association of New York City, Inc.

  • Community/Behavioral Health Agency
  • New York, NY
  • NPI 1013230374
  Medicare reassignment NPD
• Dac Physician Services,PC

  • Physical Medicine & Rehabilitation Physician
  • New York, NY
  • NPI 1083732663
  NPD (past)
• Harlem Bay Network Pros

  • Adult Mental Health Clinic/Center
  • New York, NY
  • NPI 1952669913
  NPD (past)

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788048000000",
    "number": "1669527925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 SUNRISE LN",
            "city": "UPPER SADDLE RIVER",
            "state": "NJ",
            "postal_code": "074581631",
            "telephone_number": "201-934-5513",
            "fax_number": "253-369-8654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E 79TH ST",
            "address_2": "SUITE 7J",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100210830",
            "telephone_number": "212-737-6990",
            "fax_number": "212-988-3103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RISTICH",
        "first_name": "MIODRAG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2026-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "NY",
            "license": "111075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "111075",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P518630",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00198843",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUE CROSS BLUE SH",
            "identifier": "31O281",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony Rispoli
• Joanne Michelle Rispoli, MD
• Joesph Rispoli, D.C.
• Mary E Rispoli, OTR/L
• Esther S Rister, PHD
• Annie Ristuccia, LMSW
• Rita D Chan DDS & Maja Pollack DDS (Endodontists)
• Rita Ouseph MD
• Madeline Rose Rita, MD
• Jonathan Ritacco, CRNA

• Geriatric Psychiatry Physician in New York, NY
• Providers in New York, NY by specialty
• Geriatric Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.