Queens Nephron Medicine Docs PLLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

QUEENS NEPHRON MEDICINE DOCS PLLC

Practice address

2604 169TH St
Flushing, NY 11358-1131

Phone

(347) 438-1950

NPI assigned

Mar 24, 2009

Organization subpart

No

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

Authorized official

Name

Ljubisa Micic, MDNPI 1750395000

Title

President

Phone

(347) 438-1950

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ljubisa Micic, M.D.

  • Nephrology Physician
  • Flushing, NY
  • NPI 1750395000
  Authorized official Same address or phone

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

{
    "created_epoch": "1237852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237852800000",
    "number": "1780826610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2604 169TH ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113581131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2604 169TH ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113581131",
            "telephone_number": "347-438-1950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEENS NEPHRON MEDICINE DOCS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-24",
        "last_updated": "2009-03-24",
        "status": "A",
        "authorized_official_last_name": "MICIC",
        "authorized_official_first_name": "LJUBISA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-438-1950",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Queens Internal Medicine & Geriatric PC
• Queens Long Island Certified Home Health Agency LLC
• Queens Long Island Certified Home Health Agency LLC
• Queens Medical Imaging, PC
• Queens Medical Radiotherapy PC
• Queens Neurology and Neuromuscular Medicine, PLLC
• Queens Ny Medical Health Care PC
• Queens OB/GYN, P.C.
• Queens Optical Center, Inc.
• Queens Optometric Associates PC (Queens Eye Associates)

• Nephrology Physician in Flushing, NY
• Providers in Flushing, NY by specialty
• Nephrology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.