Individual provider Active NPI

Vesna Micic, MD

  • Neurology with Special Qualifications in Child Neurology Physician
  • New York, NY
National Provider Identifier
1811121502
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
273487 Issued in NY
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

Updated by the provider on Jun 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100820000829 FL Practitioner - Neurology 6002940400 Reassigns benefits to 2 organizations
I20160517001434 NY Practitioner - Neurology 6002940400 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SJ All Medical PCGroup PAC ID 9830412642, 10 clinicians
Complete Neurological Care PCGroup PAC ID 9537320593, 14 clinicians
Comprehensive Neurological Care PAGroup PAC ID 0446651210, 6 clinicians

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

LicenseStateTypeSpecialty
ME104201FLMDNeurology Physician
273487NYMDNeurology with Special Qualifications in Child Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Ny Neurology PC Neurology CurrentSince Jul 6, 2017 Accepting new patients
Downtown Bronx Medical Associates PC CurrentSince Dec 23, 2020 Accepting new patients
Comprehensive Neurological Care PA Neurology CurrentSince Jan 4, 2026 Accepting new patients
SJ All Medical PC CurrentSince Nov 4, 2017 Accepting new patients
Complete Neurological Care PC Neurology CurrentSince Feb 3, 2018 Accepting new patients
Union Community Health Center, Inc. CurrentSince Apr 1, 2025 Accepting new patients
Madison Medical Practice P.C. Past Accepting new patients
American Neuromonitoring Associates, PC Neurology PastSince Oct 5, 2018 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

  • Direct secure messaging: vesna.micic.1@18107.direct.athenahealth.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.