Individual provider Active NPI

Tova Batsheva Perlysky, PA-C

  • Physician Assistant
  • Lawrence, NY
National Provider Identifier
1154943058
Registry record updated May 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2 Lakeside Dr W
Lawrence, NY 11559-1703
Phone
(516) 528-5099
NPI assigned
May 13, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

2 Lakeside Dr W
Lawrence, NY 11559-1703

Mailing address

2 Lakeside Dr W
Lawrence, NY 11559-1703
Phone (516) 528-5099

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
True North Medical Group PC Physician Assistant CurrentSince Mar 27, 2024 Accepting new patients
True North Medical Group PC CurrentSince Mar 27, 2024 Accepting new patients

Locations

8002 Kew Gardens Rd
Kew Gardens, NY 11415
Phone (718) 275-2130

1111 Marcus Ave
Ste M04
New Hyde Park, NY 11042
Phone (585) 736-3650

36 Lincoln Ave
Fl 3
Rockville Ctr, NY 11570

Interoperability endpoints

  • Direct secure messaging: tperlysky1470199@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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1589328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589328000000",
    "number": "1154943058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 LAKESIDE DR W",
            "city": "LAWRENCE",
            "state": "NY",
            "postal_code": "115591703",
            "telephone_number": "516-528-5099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 LAKESIDE DR W",
            "city": "LAWRENCE",
            "state": "NY",
            "postal_code": "115591703",
            "telephone_number": "516-528-5099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERLYSKY",
        "first_name": "TOVA",
        "middle_name": "BATSHEVA",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-13",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, NY

Sources for this page

Verify at the official NPI Registry.