Individual provider Active NPI

Christine Shaneeza Persaud, MD

  • Sports Medicine (Family Medicine) Physician
  • Brooklyn, NY
National Provider Identifier
1497073274
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
272804 Issued in NY
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

Updated by the provider on Feb 5, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
Direct Messaging Address christine.persaud@downstate.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140826000379 NY Practitioner - Sports MedicinePractitioner - Family Practice 0446478960 Reassigns benefits to 4 organizations
I20200929003719 NJ Practitioner - Sports Medicine 0446478960 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Sports MedicineAlso: Family Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University Physicians of Brooklyn, Inc.Group PAC ID 0749192284, 174 clinicians
Consensus Medical Group LLCGroup PAC ID 2961748181, 138 clinicians

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 Hospital, Brooklyn, NY, CCN 330350
  • Brookdale Hospital Medical Center Hospital, Brooklyn, NY, CCN 330233

Merit-based Incentive Payment System (MIPS)

Final score
87.16 of 100Reported as group
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

OrganizationSpecialtyStatusNew patients
University Physicians of Brooklyn, Inc. CurrentSince Mar 14, 2014 Accepting new patients
University Hospital of Brooklyn Suny Downstate Health Sciences Univers Family Medicine CurrentSince Jan 1, 2022 Accepting new patients
Consensus Medical Group LLC CurrentSince Oct 1, 2020 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Dec 5, 2015 Accepting new patients
Maimonides Medical Center Current Accepting new patients
Maimonides Faculty Practice Plan CurrentSince Feb 12, 2018 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Dec 5, 2015 Accepting new patients
City Medical of Upper East Side, PLLC Current Accepting new patients
University Physicians of Brooklyn, Inc. CurrentSince Mar 14, 2014 Accepting new patients
University Hospital of Brooklyn Suny Downstate Health Sciences Univers CurrentSince Jan 1, 2022 Accepting new patients
Provider Partners Care Management LP Family Medicine CurrentSince Feb 9, 2026 Accepting new patients
University Physicians of Brooklyn, Inc. Family Medicine Current Accepting new patients
University Physicians of Brooklyn, Inc Past Accepting new patients

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

  • Direct secure messaging: christinepersaud@mai.allscriptsdirect.net
  • Direct secure messaging: christine.persaud.1@438.direct.athenahealth.com
  • Direct secure messaging: christine.persaud.1@18614.direct.athenahealth.com
  • Direct secure messaging: 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.

View all 13

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.