Individual provider Active NPI

Christopher Ljucovic, FNP

  • Family Nurse Practitioner
  • Long Island City, NY
National Provider Identifier
1942578968
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
346167 Issued in NY
Practice address
3030 47TH Ave Ste 635
Long Island City, NY 11101-3492
Phone
(718) 472-1999
Fax
(718) 472-5222
NPI assigned
Dec 5, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 346167 NY Primary

Addresses

Primary practice location

3030 47TH Ave Ste 635
Long Island City, NY 11101-3492

Mailing address

3030 47TH Ave Ste 635
Long Island City, NY 11101-3492
Phone (718) 472-1999

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200921002234 NY Practitioner - Nurse Practitioner 8527486729 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
MJHS Medical Associates CurrentSince May 5, 2025 Accepting new patients
Hospice of New York, LLC PastSince Aug 25, 2025 Accepting new patients
New York Allergy Asthma & Immunology PC PastSince Aug 2, 2023 Accepting new patients
Partners Medical Group, PLLC PastSince Aug 25, 2025 Accepting new patients
Atul N. Shah, MD, PC PastSince Jan 1, 2021 Accepting new patients

Locations

55 Water St
Fl 46
New York, NY 10041
Phone (212) 440-1943

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1323043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1942578968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 47TH AVE STE 635",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111013492",
            "telephone_number": "718-472-1999",
            "fax_number": "718-472-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 47TH AVE STE 635",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111013492",
            "telephone_number": "718-472-1999",
            "fax_number": "718-472-5222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LJUCOVIC",
        "first_name": "CHRISTOPHER",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-05",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "346167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Island City, NY

Sources for this page

Verify at the official NPI Registry.