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 yesterday at 7:46 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

Mehrazin, Reza

Ahlawat, Rajesh Kumar

De Almeida Luz, Murilo

Amend, Gregory

Icahn School Of Medicine At Mount Sinai

Ucpinar, Muhammet Burak

Levinson, Adam William

Faculty Practice Associates Mount Sinai School Of Medicine

Nymhc Fpp Urology

Khusid, Johnathan Alexander