Michael A Persin, RN

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

494519 Issued in NY

Practice address

7650 Van Buren Rd
Baldwinsville, NY 13027-9712

Phone

(315) 638-6106

NPI assigned

Nov 4, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1572825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572825600000",
    "number": "1366086266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 IRENE DR",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "130279008",
            "telephone_number": "315-263-6151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7650 VAN BUREN RD",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "130279712",
            "telephone_number": "315-638-6106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERSIN",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-04",
        "last_updated": "2019-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NY",
            "license": "494519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Paul, LMHC
• David R Pearce, DDS
• Veronica Ann Penoyer, RN
• Ashley Elizabeth Pentycofe, LPN
• Lorraine Wilson Perkins, M.S.,CCC-SLP
• Christina Marie Peters, MS-CCC/SLP
• Anthony L Petote, RD
• Mark Joseph Petrie, MA LMFT
• Janet Eileen Petrou
• Phoenix Equestrian Warriors-Rescue-Rehab & Restore Inc.

• School Registered Nurse in Baldwinsville, NY
• Providers in Baldwinsville, NY by specialty
• School Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2019; 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.