| Maja Mirkovic, RD, CDE, BC-ADM | |
|
745 5th Ave Ste 500, New York, NY 10151-0099 | |
| (347) 265-1148 | |
| (855) 817-0064 |
| Full Name | Maja Mirkovic |
|---|---|
| Gender | Female |
| Speciality | Registered Dietitian Or Nutrition Professional |
| Experience | 13 Years |
| Location | 745 5th Ave Ste 500, New York, New York |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114315033 | NPI | - | NPPES |
| 00695941 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 007093 (New York) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Incontrol Nutrition Llc | 3779996764 | 3 |
| Provider Name | Advantagecare Physicians Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1336578772 PECOS PAC ID: 2365735008 Enrollment ID: O20160719000446 |
| Provider Name | Incontrol Nutrition Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1306314471 PECOS PAC ID: 3779996764 Enrollment ID: O20210112002483 |
| Mailing Address | Practice Location Address |
|---|---|
| Maja Mirkovic, RD, CDE, BC-ADM 2944 W 5th St Apt 14s, Brooklyn, NY 11224-3844 Ph: (347) 265-1148 | Maja Mirkovic, RD, CDE, BC-ADM 745 5th Ave Ste 500, New York, NY 10151-0099 Ph: (347) 265-1148 |
Mrs. Laura Manning, R.D., C.D.N. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1 Gustave L Levy Pl, Box 1625, New York, NY 10029 Phone: 212-241-9426 | |
Erika Jacobson, RD,CDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1 Gustave L Levy Pl, New York, NY 10029 Phone: 917-241-5633 | |
Danielle Stark, RDN, CDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 205 W 88th St Apt 6d, New York, NY 10024 Phone: 973-954-0666 | |
Ms. Ellen Schranz, MS, MBA, RD, CDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1 Gustave L Levy Pl, Box 1067, New York, NY 10029 Phone: 212-241-4228 | |
Michelle Mock, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 525 East 68th Street, New York, NY 10065 Phone: 212-746-3520 Fax: 212-746-8577 | |
Limor Baum, M.S., R.D Dietitian Medicare: Not Enrolled in Medicare Practice Location: 393 W End Ave Apt 11e, New York, NY 10024 Phone: 212-874-9467 | |
Mrs. Shara Wagowski, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 525 E 68th St, Box 92, New York, NY 10065 Phone: 212-759-6999 |