Andre Persaud, M.D.

Primary specialty

Pediatric Emergency Medicine (Pediatrics) PhysicianTaxonomy code 2080P0204X

License

2455698 Issued in NY

Practice address

620 E Boston Post Rd
Mamaroneck, NY 10543-3741

Phone

(914) 777-5437

Fax

(914) 630-0907

NPI assigned

Oct 27, 2006

Last updated

Jun 22, 2011By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: andre.persaud@pmuc.eclinicaldirectplus.com

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.

• PM Pediatrics of Bayside PLLC

  • Urgent Care Clinic/Center
  • Nanuet, NY
  • NPI 1861823197
  NPD (past)
• PM Pediatrics of Bayside, PLLC

  • Specialist
  • Bayside, NY
  • NPI 1861700353
  NPD (past)
• PM Pediatrics of Selden

  • Urgent Care Clinic/Center
  • Selden, NY
  • NPI 1790914042
  NPD (past)
• PM Pediatrics of Selden

  • Specialist
  • North Babylon, NY
  • NPI 1902143886
  NPD (past)
• PM Pediatrics of Staten Island

  • Pediatrics Physician
  • Staten Island, NY
  • NPI 1629439427
  NPD (past)
• PM Pediatrics PC

  dba PM Pediatrics of Mamaroneck

  • Urgent Care Clinic/Center
  • Syosset, NY
  • NPI 1730212390
  NPD (past)

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308700800000",
    "number": "1457437881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 E BOSTON POST RD",
            "address_2": "620 EAST BOSTON POST ROAD",
            "city": "MAMARONECK",
            "state": "NY",
            "postal_code": "105433741",
            "telephone_number": "914-777-5437",
            "fax_number": "914-630-0907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 E BOSTON POST RD",
            "city": "MAMARONECK",
            "state": "NY",
            "postal_code": "105433741",
            "telephone_number": "914-777-5437",
            "fax_number": "914-630-0907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERSAUD",
        "first_name": "ANDRE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2011-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0204X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Emergency Medicine",
            "state": "NY",
            "license": "2455698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2494046",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Augusta Peet-Pace
• Leslie Pena-Sullivan, LCSW
• Milana Penchev
• Eimy Banesa Perez
• Letxi Perez
• Personalized Psychology PLLC
• Lisa Marie Petrucelli, LCSW
• David Anthony Petti, D.D.S.
• Nicole Marie Pieragostini, LCSW
• Nicole Pierrette

• Pediatric Emergency Medicine (Pediatrics) Physician in Mamaroneck, NY
• Providers in Mamaroneck, NY by specialty
• Pediatric Emergency Medicine (Pediatrics) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2011; 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.