Active NPI
Vesna Micic, MD
- Neurology with Special Qualifications in Child Neurology Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology with Special Qualifications in Child Neurology Physician
- License
- 273487
- Practice address
- 142 W End Ave Apt 1RS
New York, NY 10023-6103 - Phone
- (646) 960-1085
- Fax
- (646) 607-6871
- NPI assigned
- May 8, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | 273487 | NY | Primary |
Addresses
Primary practice location
142 W End Ave Apt 1RS
New York, NY 10023-6103
Mailing address
105 W 125TH St FRNT 1-1149
New York, NY 10027-4444
Phone (646) 960-1085
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
139 N Central Ave
Suite 2
Valley Stream, NY 11580-3859
Phone (516) 887-8808
225 Broadway
Suite 705
New York, NY 10007-3791
Phone (212) 349-2787
7730 W Boynton Beach Blvd
Suite 4
Boynton Beach, FL 33437-6155
Phone (800) 200-8196
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME104201 | FL | MD | Neurology Physician |
| 273487 | NY | MD | Neurology with Special Qualifications in Child Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greater Ny Neurology PC | Neurology | Current | Accepting new patients |
| Downtown Bronx Medical Associates PC | Current | Accepting new patients | |
| Comprehensive Neurological Care PA | Neurology | Current | Accepting new patients |
| SJ All Medical PC | Current | Accepting new patients | |
| Complete Neurological Care PC | Neurology | Current | Accepting new patients |
| Union Community Health Center, Inc. | Current | Accepting new patients | |
| Madison Medical Practice P.C. | Past | Accepting new patients | |
| American Neuromonitoring Associates, PC | Neurology | Past | Accepting new patients |
Locations
7301 W Palmetto Park Rd
Ste 103C
Boca Raton, FL 33433
Phone (561) 395-2667
7050 W Palmetto Park Rd
Ste 15175
Boca Raton, FL 33433
7730 W Boynton Beach Blvd
Ste 4
Boynton Beach, FL 33437
Phone (561) 572-0299
3613 30th Ave
Astoria, NY 11103
Phone (718) 204-1975
260 E 188th St
Bronx, NY 10458
Phone (718) 618-8236
2021 Grand Concourse
Bronx, NY 10453
Phone (718) 299-2800
234 Eugenio Maria de Hosto Blvd
Bronx, NY 10451
Phone (718) 579-5874
11247 Queens Blvd
Ste 206
Forest Hills, NY 11375
Phone (718) 268-1750
274 Madison Ave
Rm 304
New York, NY 10016
Phone (212) 349-2787
150 E 55th St
Fl 4
New York, NY 10022
Phone (212) 349-2787
225 Broadway
Ste 705
New York, NY 10007
Phone (212) 349-2787
125 N Central Ave
Ste A
Valley Stream, NY 11580
Phone (516) 887-8808
139 N Central Ave
Ste 2
Valley Stream, NY 11580
Phone (516) 887-8808
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
Interoperability endpoints
- vesna.micic.1@18107.direct.athenahealth.com
- vmicic1463780@nychhc.direct-ci.com
Organizations & group practices 10
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.
-
- Neurology Physician
- Forest Hills, NY
- NPI 1962775882
-
- Clinical Neurophysiology Physician
- Valley Stream, NY
- NPI 1750793642
-
- Neurology Physician
- Sunny Isl BCH, FL
- NPI 1104406750
-
- Emergency Medical Services (Emergency Medicine) Physician
- Bronx, NY
- NPI 1689618407
-
- Neurology Physician
- Brooklyn, NY
- NPI 1073947156
-
- Clinic/Center
- Bronx, NY
- NPI 1437255155
-
- Multi-Specialty Clinic/Center
- Jacksonville, FL
- NPI 1386658615
-
- Internal Medicine Physician
- New York, NY
- NPI 1871751735
-
- Neurology Physician
- Columbia, MD
- NPI 1740391283
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782259200000",
"number": "1811121502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 W 125TH ST FRNT 1-1149",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100274444",
"telephone_number": "646-960-1085",
"fax_number": "646-607-6871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "142 W END AVE APT 1RS",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100236103",
"telephone_number": "646-960-1085",
"fax_number": "646-607-6871"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICIC",
"first_name": "VESNA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-08",
"last_updated": "2026-06-24",
"certification_date": "2026-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "NY",
"license": "273487",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.