Active NPI
Aleksandar Vuk Nikolic
- Psychiatry Physician
- Longwood, FL
National Provider Identifier
1891445151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- OS21585
- Practice address
- 521 W State Road 434 Ste 300
Longwood, FL 32750-5166 - Phone
- (407) 262-2220
- Fax
- (407) 834-5011
- NPI assigned
- Mar 28, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | OS21585 | FL | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
521 W State Road 434 Ste 300
Longwood, FL 32750-5166
Mailing address
521 W State Road 434 Ste 300
Longwood, FL 32750-5166
Phone (407) 262-2220
Other practice location 1
1147 NW 64th Ter
Gainesville, FL 32605-4218
Phone (352) 333-5982
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260618002348 | FL | Practitioner - Psychiatry | 1153817267 |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Nova Southeastern College of Osteo Medicine, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1147 NW 64TH Ter
Gainesville, FL 32605-4218
1335 Sligh Blvd
FL 3
Orlando, FL 32806-3901
PO Box
New York, NY 10087
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787270400000",
"number": "1891445151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "521 W STATE ROAD 434 STE 300",
"city": "LONGWOOD",
"state": "FL",
"postal_code": "327505166",
"telephone_number": "407-262-2220",
"fax_number": "407-834-5011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "521 W STATE ROAD 434 STE 300",
"city": "LONGWOOD",
"state": "FL",
"postal_code": "327505166",
"telephone_number": "407-262-2220",
"fax_number": "407-834-5011"
}
],
"practiceLocations": [
{
"address_1": "1147 NW 64th Ter",
"address_purpose": "LOCATION",
"city": "Gainesville",
"state": "FL",
"postal_code": "326054218",
"country_code": "US",
"telephone_number": "352-333-5982",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NIKOLIC",
"first_name": "ALEKSANDAR VUK",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-03-28",
"last_updated": "2026-08-21",
"certification_date": "2026-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "OS21585",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Longwood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.