Individual provider Active NPI

Maja Djordjevic, MD

  • Pediatrics Physician
  • Mount Kisco, NY
National Provider Identifier
1932100591
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
213948 Issued in NY
Practice address
400 E Main St
4TH Floor, Northern Westchester Hospital
Mount Kisco, NY 10549-3417
Phone
(914) 666-1049
Fax
(914) 666-1973
NPI assigned
Aug 4, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 213948 NY Primary

Addresses

Primary practice location

400 E Main St
4TH Floor, Northern Westchester Hospital
Mount Kisco, NY 10549-3417

Mailing address

400 E Main St
4TH Floor, Northern Westchester Hospital
Mount Kisco, NY 10549-3417
Phone (914) 666-1049

Other identifiers 2

IdentifierTypeStateIssuer
01998278MedicaidNY
529281OtherNYBLUE CROSS BLUE SHIELD

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
I20060209000718 NY Practitioner - Pediatric MedicinePractitioner - Internal Medicine 6901811066 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
213948NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Nyack Hospital Past Accepting new patients
Long Island College Hospital Pediatrics Past Accepting new patients
Northern Westchester Hospital Association Past Accepting new patients
Northern Westchester Hospital Association Past Accepting new patients

Organizations & group practices 5

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": "1123113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1932100591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E MAIN ST",
            "address_2": "4TH FLOOR, NORTHERN WESTCHESTER HOSPITAL",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105493417",
            "telephone_number": "914-666-1049",
            "fax_number": "914-666-1973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E MAIN ST",
            "address_2": "4TH FLOOR, NORTHERN WESTCHESTER HOSPITAL",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105493417",
            "telephone_number": "914-666-1049",
            "fax_number": "914-666-1973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DJORDJEVIC",
        "first_name": "MAJA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-04",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "213948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01998278",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "529281",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Kisco, NY

Sources for this page

Verify at the official NPI Registry.