DR. MIODRAG RISTICH


Address: 201 E 79th St, Suite 7j, New York, NY 10021-0830
Phone: 2127376990

DR. MIODRAG RISTICH (NPI# 1669527925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1669527925
Entity Type Individual
Full Name DR. MIODRAG RISTICH
Credential M.D.
Practice Address 201 E 79th St
Suite 7j
New York
NY 10021-0830
Mailing Address 37 Sunrise Ln
Upper Saddle River
NJ 07458-1631
Practice Telephone 2127376990
Practice Fax Number 2129883103
Mailing Telephone 2019345513
Mailing Fax Number 2533698654
Enumeration Date 2007-01-24
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084P0805X Psychiatry & Neurology
Specialization: Geriatric Psychiatry
111075 NY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NY HIP 111075 01
NY OXFORD P518630 01
NY 00198843 05
NY EMPIRE BLUE CROSS BLUE SH 31O281 01

Office Location

Street Address 201 E 79TH ST
SUITE 7J
City NEW YORK
State NY
Zip Code 10021-0830

Providers in the same location

NPI Name Taxonomy Address Enumeration
1790221653 Samantha Scott Kramer Social Worker 201 E 79th St, Apt. 6c, New York, NY 10075-0830 2017-01-16
1831407105 Celia Ethel Waldman Specialist/Technologist 201 E 79th St, New York, NY 10075-0830 2010-09-20
1104053263 Brian G. Brazzo Md P.C. Ophthalmology 201 E 79th St, New York, NY 10075-0830 2009-06-16
1487870234 Alexandra B Dimich Internal Medicine 201 E 79th St, Suite 20e, New York, NY 10021-0830 2007-04-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1720609175 Haneen Qadourah Student in an Organized Health Care Education/Training Program Weillcornellinternalmedicineassociates, 505east70thstreet, Newyorkcity, NY 10021 2020-04-27
1114547080 Mohd Omair Jamil Pharmacist 530 East 74th Street, 10281, New York, NY 10021 2020-04-21
1750915062 Radoslav Jovanovic, Md and Kevin Jovanovic, Md Obstetrics & Gynecology 930 Fifth Avenue, Suite 3, New York, NY 10021 2020-02-25
1750915344 Stacyann S Foster Nurse Practitioner 1305 York Avenue 2nd Floor, New York, NY 10021 2020-02-24
1477184547 John Schipano Pharmacist Zitomer, 969 Madison Ave, New York, NY 10021 2020-01-28
1932741253 Memorial Sloan Kettering Cancer Center Pharmacy 530 East 74 Street, Room 1101, New York, NY 10021 2019-10-09
1922656875 Kouros Emami Clinical Neuropsychologist 525 East 71st St., 5th Floor, New York, NY 10021 2019-09-03
1083262539 Uptown Surgical Services P.c Clinic/Center 111 East 71st Street, New York, NY 10021 2019-08-28
1316591209 Siddiqi Medical P.C. Internal Medicine Archcare At Mary Manning Walsh Home, 1339 York Avenue, New York, NY 10021 2019-07-29
1942763602 Alisha Bouzaher Student in an Organized Health Care Education/Training Program 439 East 71st, 1st Floor, New York, NY 10021 2019-04-10
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Taxonomy Information

Taxonomy Code 2084P0805X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Geriatric Psychiatry

Taxonomy Definition

Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427491745 Mervat Estefanos Psychiatry & Neurology 1901 1st Ave, Room M1-18, Metropolitan Hospital Center, New York, NY 10029 2013-04-17
1194076851 Paul E. Yarden Psychiatry & Neurology 201 E 77th St Apt 17b, New York, NY 10075-2085 2012-09-20
1588810592 Nery Diaz Psychiatry & Neurology 635 W 165th St # Ei-6, New York, NY 10032-3724 2008-08-10
1831224062 Walter W. Furer Psychiatry & Neurology 150 E 90th St, New York, NY 10128-2328 2007-02-21
1225172075 Diana Feldman Psychiatry & Neurology 525 East 68th Street # 140, New York, NY 10021 2007-02-16
1023155504 Barry Reisberg Psychiatry & Neurology 20 Waterside Plaza, Suite # 7k, New York, NY 10010-2619 2007-01-31
1740211143 Service Program for Older People Inc Psychiatry & Neurology 302 W 91st St, New York, NY 10024-1011 2006-07-05
1730117342 Robert Abrams Psychiatry & Neurology 175 W 13th St, #16-g, New York, NY 10011-7855 2006-06-30
1497781371 Jose A Baez Psychiatry & Neurology 707west 171 Street, Suite W, New York, NY 10032 2006-06-23
1063409951 Istvan E.j. Boksay Psychiatry & Neurology 314 E 30th St, New York, NY 10016-8303 2005-10-05
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Competitor

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City NEW YORK
Zip Code 10021

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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