The Macedonian Orthodox Diocese of America and Canada () is one of 10 dioceses of the Macedonian Orthodox Church and one of three located outside of North Macedonia. It was initially established in 1967 for Macedonian diaspora communities in Canada, the United States, and Australia. In 1981, the diocese was split into two parts: one diocese for Australia and New Zealand and another for Canada and the United States. The American and Canadian diocese is further subdivided into three parts, or "regencies": one for the Eastern United States, one for the Midwestern United States, and one for Canada. It consists of roughly 15,000 adherents and 40 churches, monasteries, and parishes.

List Eastern American churches NameDedicationLocationFoundedNotesImageSt. Clement of Ohrid Clement of Ohrid New York City, New York 1987 St. Dimitrij Demetrius of Thessaloniki Miami, Florida 2000 St. Dimitrija Demetrius of Thessaloniki Rochester, New York 1978 St. George Saint George Randolph, New Jersey 1984 First Macedonian Orthodox monastery in North America St. George Saint George Syracuse, New York 1968 St. John the Baptist John the Baptist Tarpon Springs, Florida 1999 Sts. Kiril and Metodij Cyril and Methodius Blasdell, New York 1975 Organizes an annual Macedonian cultural festival Sts. Kiril and Metodij Cyril and Methodius Cedar Grove, New Jersey 1974 Originally located in Passaic, New Jersey. Burnt down in 1980, later reopened in Cedar Grove. St. Naum of Ohrid Saint Naum Philadelphia, Pennsylvania 1993 St. Nicholas Saint Nicholas Totowa, New Jersey 1994

Midwestern American churches NameDedicationLocationFoundedNotesImageSt. Clement of Ohrid Clement of Ohrid Avon, Ohio 1986 St. George of Kratovo George of Kratovo Farmington Hills, Michigan 1993 St. Ilija Elijah Cincinnati, Ohio 1978 Sts. Kiril and Metodij Cyril and Methodius Hinsdale, Illinois 1981 St. Mary Mary, mother of Jesus Reynoldsburg, Ohio 1965 St. Mary Mary, mother of Jesus Sterling Heights, Michigan 1975 St. Nicholas Saint Nicholas North Canton, Ohio - Sts. Petar and Pavle Saint Peter and Paul the Apostle Crown Point, Indiana 1963 First Macedonian Orthodox church in North America St. Petka Paraskeva of the Balkans Chicago, Illinois 1993 Canadian churches NameDedicationLocationFoundedNotesImageSt. Clement of Ohrid Clement of Ohrid Toronto, Ontario 1965 First Macedonian Orthodox church in Canada St. Dimitrija Solunski Demetrius of Thessaloniki Markham, Ontario 1993 Features a large mural by artist Georgi Danevski St. Ilija Elijah Mississauga, Ontario 1979 Parish founded in 1979. Moved into an art gallery in 1997. Victim of an arson attack in 2000, destroying a section of the church. A new church building was completed in 2004. St. Mary Mary, mother of Jesus Cambridge, Ontario 1987 St. Naum of Ohrid Saint Naum Hamilton, Ontario 1970 St. Nedela Nedela Ajax, Ontario 1993 St. Nicholas Saint Nicholas LaSalle, Ontario 1979 Burnt down in 1980, later reconstructed

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