Petar Jovanovic, MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

110549 Issued in NY

Practice address

208 E 75TH STR
New York City, NY 10021

Phone

(212) 861-4480

Fax

(212) 861-4524

NPI assigned

Dec 1, 2006

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881762524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 E 75TH STR",
            "city": "NEW YORK CITY",
            "state": "NY",
            "postal_code": "10021",
            "telephone_number": "212-861-4480",
            "fax_number": "212-861-4524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 E 75TH STR",
            "city": "NEW YORK CITY",
            "state": "NY",
            "postal_code": "10021",
            "telephone_number": "212-861-4480",
            "fax_number": "212-861-4524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOVANOVIC",
        "first_name": "PETAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NY",
            "license": "110549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01180212",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Au MD PLLC
• Elizabeth Kathleen Job
• Karen Maria John
• Sandra Joseph, NURSE PRACTITIONER
• Marquis Von Angelo Go Joson, M.D.
• Susan H Kane, LCSW
• Andrew Kaplan, DMD
• Grace Karanja, CASAC
• Siddarth Karipineni, M.D.
• Jad Kassem, M.D.

• Otolaryngology Physician in New York City, NY
• Providers in New York City, NY by specialty
• Otolaryngology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.