It is regulated by the Agency for Electronic Communications (AEK), which holds responsibility for telecommunications.

Area codes should always be dialed, even within the country, because of the many fixed and mobile operators.

An example for calling telephones in Skopje is as follows: Numbering formats for North Macedonia: +389 2 xxxxxxx geographic numbers – Skopje +389 3x xxxxxx geographic numbers – eastern area +389 4x xxxxxx geographic numbers – central and western area +389 5xx xxxxx premium, value added, shared revenue +389 7x xxxxxx mobile +389 8xx xxxxx freephone, shared cost 1xx is the general short code format (such as 112 for emergency); 10xx format is for carrier access.

Users can switch carriers and keep their cell phone numbers, including prefix.

During Yugoslavia's existence, Macedonian area codes all began with 9.