Look up the most recent NPI and PECOS records

Miroslav L Djordjevic

Urology

Allopathic & Osteopathic Physicians

1425 Madison Ave Fl 6, New York, NY 10029-6514

PECOS Enrollment

This provider is enrolled in PECOS as MIROSLAV DJORDJEVIC.

Based on the most recent information from CMS, provider Miroslav L Djordjevic is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records today at 11:56 AM.

Profile Details

Provider ID
1245796846
Provider Type
Individual
Full Name
Djordjevic, Miroslav L
Title
Prof.
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
2/19/2019
Last Updated
2/19/2019

Contact Information

Practice Location

1425 Madison Ave Fl 6, New York, NY 10029-6514

(212) 659-5559

Unlisted Fax

Mailing Location

1425 Madison Ave Fl 6, New York, NY 10029-6514

(212) 659-5559

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 208800000X Primary	Description Urology Allopathic & Osteopathic Physicians	License 293365 New York

Miroslav L Djordjevic

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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