DR. MIODRAG RISTICH M.D. NPI 1669527925

NPI Information

NPI: 1669527925
Provider Name: DR. MIODRAG RISTICH, M.D.
Classification: Psychiatry & Neurology - 2084P0805X
Entity Type: Individual

Specialization: Geriatric Psychiatry

PECOS Registration: Yes

Address:
201 E 79TH ST
SUITE 7J
NEW YORK, NY
ZIP 10021
Phone: (212) 737-6990
Get Directions

DR. Miodrag Ristich, M.D. is a geriatric psychiatry psychiatry neurology in New York, NY. The provider is 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. DR. Miodrag Ristich, M.D. NPI is 1669527925. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

201 E 79TH ST
SUITE 7J
NEW YORK, NY
ZIP 10021-830
Phone: (212) 737-6990
Fax: (212) 988-3103

The NPI 1669527925 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/24/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084P0805X	Psychiatry & Neurology	Geriatric Psychiatry	111075	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00198843	MEDICAID	NEW YORK
2	B12723	MEDICARE UPIN	NEW YORK
3	31O281	OTHER	NEW YORK	EMPIRE BLUE CROSS BLUE SH
4	P518630	OTHER	NEW YORK	OXFORD
5	31O281	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK
6	111075	OTHER	NEW YORK	HIP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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