Active NPI
Christine Shaneeza Persaud, MD
- Sports Medicine (Family Medicine) Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- 272804
- Practice address
- 450 Clarkson Ave
Brooklyn, NY 11203 - Phone
- (718) 270-2179
- NPI assigned
- May 4, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 25MA10073600 | NJ | |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 25MA10073600 | NJ | |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 272804 | NY | Primary |
Addresses
Primary practice location
450 Clarkson Ave
Brooklyn, NY 11203
Mailing address
450 Clarkson Ave
Brooklyn, NY 11203-2012
Phone (718) 270-2179
Other practice location 1
105 Main St Apt 1A
West Orange, NJ 07052-5421
Phone (973) 344-0900
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | christine.persaud@downstate.edu | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Sports Medicine
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1 Brookdale PLZ
Brooklyn, NY 11212-3139
Phone (718) 270-2045
105 Main St
Suite a
West Orange, NJ 07052-5421
Phone (973) 344-0900
253 Empire Blvd
Brooklyn, NY 11225-3506
Phone (718) 493-0300
470 Clarkson Ave
Brooklyn, NY 11203-2012
Phone (718) 270-1000
760 Parkside Ave
Brooklyn, NY 11226-1786
Phone (718) 270-4540
Hospital & facility affiliations
- Suny/Downstate University Hospital of Brooklyn
- Brookdale Hospital Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.16 of 100
- Quality
- 78.12
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 79.08
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
Locations
8820 Columbia 100 Pkwy
Ste 430
Columbia, MD 21045
Phone (410) 967-2097
706 Bergen Ave
Ste 2
Jersey City, NJ 07306
Phone (201) 464-8888
404 Lippincott Dr
Marlton, NJ 08053
170 Changebridge Rd
Bldg C3
Montville, NJ 07045
Phone (973) 575-5540
105 Main St
Ste A
West Orange, NJ 07052
Phone (973) 344-0900
4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724
450 Clarkson Ave
Brooklyn, NY 11203
Phone (718) 270-1603
1235 Linden Blvd
Brooklyn, NY 11212
Phone (718) 240-5071
760 Parkside Ave
Brooklyn, NY 11226
Phone (917) 751-9093
470 Clarkson Ave
Brooklyn, NY 11203
Phone (718) 421-1003
840 Lefferts Ave
Brooklyn, NY 11203
Phone (718) 493-0300
336 E 86th St
New York, NY 10028
Phone (212) 772-3627
561 3rd Ave
New York, NY 10016
Phone (212) 729-4668
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
Interoperability endpoints
- christinepersaud@mai.allscriptsdirect.net
- christine.persaud.1@438.direct.athenahealth.com
- christine.persaud.1@18614.direct.athenahealth.com
- christinepersaud@sunydmc.allscriptsdirect.net
Organizations & group practices 13
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.
-
- Family Medicine Physician
- Brooklyn, NY
- NPI 1396318986
-
- Family Medicine Physician
- Brooklyn, NY
- NPI 1366506271
-
- Internal Medicine Physician
- Manasquan, NJ
- NPI 1811466881
-
- Urgent Care Clinic/Center
- New York, NY
- NPI 1801277629
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1053344846
-
- Nurse Practitioner
- Columbia, MD
- NPI 1013348028
Family Medicine, NJ
-
- Urgent Care Clinic/Center
- White Plains, NY
- NPI 1538570627
-
- Urgent Care Clinic/Center
- New York, NY
- NPI 1740913763
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1093777492
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Brooklyn, NY
- NPI 1528027414
-
- Orthopaedic Surgery Physician
- Brooklyn, NY
- NPI 1386691822
-
- Child & Adolescent Psychiatry Physician
- Brooklyn, NY
- NPI 1689715476
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1346380870
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1356307656
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1487724712
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Brooklyn, NY
- NPI 1639756406
Hospital
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1639179328
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707091200000",
"number": "1497073274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 CLARKSON AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112032012",
"telephone_number": "718-270-2179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 CLARKSON AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11203",
"telephone_number": "718-270-2179"
}
],
"practiceLocations": [
{
"address_1": "105 Main St Apt 1A",
"address_purpose": "LOCATION",
"city": "West Orange",
"state": "NJ",
"postal_code": "070525421",
"country_code": "US",
"telephone_number": "973-344-0900",
"fax_number": "833-314-0380",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PERSAUD",
"first_name": "CHRISTINE",
"middle_name": "SHANEEZA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-04",
"last_updated": "2024-02-05",
"certification_date": "2024-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NJ",
"license": "25MA10073600",
"primary": false
},
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "NJ",
"license": "25MA10073600",
"primary": false
},
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "NY",
"license": "272804",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "christine.persaud@downstate.edu",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "450 Clarkson Ave",
"city": "Brooklyn",
"state": "NY",
"country_code": "US",
"postal_code": "112032012",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.