Individual provider Active NPI

Angela Nalini Persaud, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Richmond Hill, NY
National Provider Identifier
1154078970
Registry record updated Mar 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
403958 Issued in NY
Practice address
8540 111TH St
Richmond Hill, NY 11418-1637
Phone
(718) 687-7525
NPI assigned
Mar 2, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 403958 NY Primary

Addresses

Primary practice location

8540 111TH St
Richmond Hill, NY 11418-1637

Mailing address

8540 111TH St
Richmond Hill, NY 11418-1637
Phone (718) 687-7525

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220728002276 NY Practitioner - Nurse Practitioner 5294117875 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
403958NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Queens Psychiatric & Medical Care P.C. Psychiatric/Mental Health CurrentSince Oct 19, 2025 Accepting new patients
Wyckoff Professional Medical Services, PC CurrentSince Jun 1, 2022 Accepting new patients

Locations

1419 Myrtle Ave
Brooklyn, NY 11237
Phone (718) 455-4909

374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485

9520 63rd Rd
Ste J
Rego Park, NY 11374
Phone (718) 459-5812

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: apersaud12097074@nychhc.direct-ci.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1646179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646179200000",
    "number": "1154078970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8540 111TH ST",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114181637",
            "telephone_number": "718-687-7525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8540 111TH ST",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114181637",
            "telephone_number": "718-687-7525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERSAUD",
        "first_name": "ANGELA",
        "middle_name": "NALINI",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-02",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "403958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond Hill, NY

Sources for this page

Verify at the official NPI Registry.