Organization Active NPI

Kavitha Persaud MD LLC

  • Specialist
  • Parlin, NJ
National Provider Identifier
1154022960
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
KAVITHA PERSAUD MD LLC
Practice address
777 Washington Rd
Parlin, NJ 08859-1074
Phone
(561) 389-0118
NPI assigned
Mar 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kavitha PersaudNPI 1346684123
Title
Owner
Phone
(561) 389-0118

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

777 Washington Rd
Parlin, NJ 08859-1074

Mailing address

59 Northwood Dr
Franklin Lakes, NJ 07417-2292
Phone (561) 389-0118

Other practice location 1

1084 Main Ave
Clifton, NJ 07011-2330
Phone (561) 389-0118

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1679011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738195200000",
    "number": "1154022960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 NORTHWOOD DR",
            "city": "FRANKLIN LAKES",
            "state": "NJ",
            "postal_code": "074172292",
            "telephone_number": "561-389-0118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 WASHINGTON RD",
            "city": "PARLIN",
            "state": "NJ",
            "postal_code": "088591074",
            "telephone_number": "561-389-0118"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1084 Main Ave",
            "address_purpose": "LOCATION",
            "city": "Clifton",
            "state": "NJ",
            "postal_code": "070112330",
            "country_code": "US",
            "telephone_number": "561-389-0118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KAVITHA PERSAUD MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-17",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A",
        "authorized_official_last_name": "PERSAUD",
        "authorized_official_first_name": "KAVITHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-389-0118"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parlin, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.