Individual provider Active NPI

Milivoje Milosevic, MD

  • Obstetrics Physician
  • New York, NY
National Provider Identifier
1821019720
Registry record updated Dec 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
144052 Issued in NY
Practice address
3845 10TH Ave
New York, NY 10034-1850
Phone
(463) 441-7156
Fax
(917) 997-9555
NPI assigned
Jul 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics Physician 207VX0000X 144052 NY Primary

Addresses

Primary practice location

3845 10TH Ave
New York, NY 10034-1850

Mailing address

64 Nagle Ave FL 2
New York, NY 10040-1406
Phone (646) 344-1715

Other practice location 1

3845 10th Ave
New York, NY 10034-1850
Phone (646) 344-1715

Other identifiers 1

IdentifierTypeStateIssuer
00533793MedicaidNY

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040408000925 NY Practitioner - Obstetrics/Gynecology 9739173246 Reassigns benefits to 1 organization
Practice locations: Bronx, NY; Jackson Heights, NY; New York, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
144052NYMDObstetrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Broadway GYN Office, P.C Current Accepting new patients
Perry Ave Family Medical Center Inc CurrentSince Feb 1, 2012 Accepting new patients
Pearl Medical, PC Obstetrics Past Accepting new patients
Forest Hills Dermatology Group PLLC PastSince Dec 13, 2020 Accepting new patients
Nyc Medical of Queens PC PastSince Mar 9, 2020 Accepting new patients
Gastrointestinal Care of Long Island PLLC Past Accepting new patients

Locations

3071 Perry Ave
Bronx, NY 10467
Phone (718) 231-6700

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CAEACD

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1821019720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 NAGLE AVE FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100401406",
            "telephone_number": "646-344-1715",
            "fax_number": "917-997-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3845 10TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100341850",
            "telephone_number": "463-441-7156",
            "fax_number": "917-997-9555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3845 10th Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100341850",
            "country_code": "US",
            "telephone_number": "646-344-1715",
            "fax_number": "917-997-9555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILOSEVIC",
        "first_name": "MILIVOJE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-23",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_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 New York, NY

Sources for this page

Verify at the official NPI Registry.