Pervaiz Medical Pulmonary Care P.C.

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

PERVAIZ MEDICAL PULMONARY CARE P.C.

Practice address

1421 Saint Johns PL
Brooklyn, NY 11213-3809

Phone

(929) 484-1236

NPI assigned

Jul 24, 2023

Organization subpart

No

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

Authorized official

Name

Miss Bano Raykha

Title

Front Office

Phone

(929) 484-1236

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

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

• Pervaiz Iqbal, MD

  • Pulmonary Disease Physician
  • South Richmond Hill, NY
  • NPI 1083658918
  Medicare reassignment NPD
• Sami Pervaiz, DO

  • Pulmonary Disease Physician
  • Brooklyn, NY
  • NPI 1528592631
  Medicare reassignment NPD

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

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731456000000",
    "number": "1457031536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 HARBOR CT E",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115762435",
            "telephone_number": "718-641-1117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 SAINT JOHNS PL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112133809",
            "telephone_number": "929-484-1236"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "183 Broadway Ste 309",
            "address_purpose": "LOCATION",
            "city": "Hicksville",
            "state": "NY",
            "postal_code": "118014242",
            "country_code": "US",
            "telephone_number": "516-303-0537",
            "fax_number": "718-756-1390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PERVAIZ MEDICAL PULMONARY CARE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-24",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A",
        "authorized_official_last_name": "RAYKHA",
        "authorized_official_first_name": "BANO",
        "authorized_official_title_or_position": "FRONT OFFICE",
        "authorized_official_telephone_number": "929-484-1236",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Svetlana Pertsovsky, MD
• Vadim Pertsovsky
• Yuriy Pertsovsky
• Jennifer Peruggia, PT
• Krishna S Perumareddi, MD
• Henna Pervaiz
• Mariam Pervaiz
• Salman Pervaiz, MD
• Sami Pervaiz, DO
• Rahila Pervez, M.D.

• Multi-Specialty Clinic/Center in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Multi-Specialty Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.