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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
111075 | NY | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | HIP | 111075 | 01 |
NY | OXFORD | P518630 | 01 |
NY | 00198843 | 05 | |
NY | EMPIRE BLUE CROSS BLUE SH | 31O281 | 01 |
Street Address |
201 E 79TH ST SUITE 7J |
City | NEW YORK |
State | NY |
Zip Code | 10021-0830 |
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 |
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 |
Find all providers in zip 10021 |
Taxonomy Code | 2084P0805X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Geriatric Psychiatry |
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] |
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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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.