RADOSLAV JOVANOVIC, MD LLC
NPI 1104034040
Specialist in New York, NY

Active since May 21, 2007CLIA 33D0938892 · Microscopy
930 5TH AVE, NEW YORK, NY 10021(212) 249-6709(212) 472-7214 Get Directions Write a Review

NPPES record last updated: July 19, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Radoslav Jovanovic, Md Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RADOSLAV JOVANOVIC, MD LLC (NPI 1104034040) is a healthcare organization registered as a specialist in New York, New York and active in the NPI registry since May 2007. The organization holds a CLIA Microscopy certificate valid through January 15, 2028 and lists Radoslav Jovanovic, Proprietor, as its authorized official.

NPPES Registry Identity

NPI1104034040
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameRADOSLAV JOVANOVIC, MD LLC
Location Address930 5TH AVENew York, NY 10021-2651
Mailing Address930 5th AveNew York, NY 10021-2651 · (212) 249-6709 · Fax (212) 472-7214
Fax(212) 472-7214
Organization SubpartNo
Authorized OfficialRadoslav JovanovicProprietor · (212) 249-6709
Enumeration DateMay 21, 2007
Last NPPES UpdateJuly 19, 2007
NPI 1104034040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in NY · 098582
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
930 5TH AVE, New York, NY 10021

Other Identifiers 1

Medicare UPINB15858NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 33D0938892

Radoslav Jovanovic MD · New York, NY
Active · expires Jan 15, 2028
CLIA Number33D0938892
Laboratory TypePhysician Office
Certificate Effective DateJanuary 16, 2026
Certificate Expiration DateJanuary 15, 2028
Laboratory DirectorDr. Kevin Jovanovic
Laboratory Phone(212) 249-6709
Laboratory LocationRadoslav Jovanovic MD930 Fifth Avenue, Suite 3, New York, NY 10021
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
930 5TH AVE
NEW YORK, NY 10021
Obstetrics & Gynecology (Maternal & Fetal Medicine)
930 5TH AVE
NEW YORK, NY 10021
Obstetrics & Gynecology (Maternal & Fetal Medicine)
930 5TH AVE
NEW YORK, NY 10021

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Radoslav Jovanovic, MD LLC's NPI number?

The NPI number for Radoslav Jovanovic, MD LLC is 1104034040. It was assigned to this organization in the NPPES registry on May 21, 2007.

Where is Radoslav Jovanovic, MD LLC located?

Radoslav Jovanovic, MD LLC is located at 930 5th Ave, New York, NY 10021. The listed phone number is (212) 249-6709.

What is Radoslav Jovanovic, MD LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Radoslav Jovanovic, MD LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 33D0938892) is associated with this NPI, valid through January 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Radoslav Jovanovic, MD LLC was last updated on July 19, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.