Healthcare Provider Details

I. General information

NPI: 1750942447
Provider Name (Legal Business Name): JOVAN MILOSAVLJEVIC MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/24/2019
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1180 MORRIS PARK AVE
BRONX NY
10461-1925
US

IV. Provider business mailing address

1180 MORRIS PARK AVE
BRONX NY
10461-1925
US

V. Phone/Fax

Practice location:
  • Phone: 44-556-6683
  • Fax: 718-239-6912
Mailing address:
  • Phone: 44-556-6683
  • Fax: 718-239-6912

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number337793
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: