Active NPI
Healthy Way Medical PC
- Internal Medicine Physician
- Hicksville, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- HEALTHY WAY MEDICAL PC
- Practice address
- 349 W Old Country Rd
Hicksville, NY 11801-4107 - Phone
- (347) 510-5421
- NPI assigned
- Oct 25, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lisa Persaud
- Title
- President
- Phone
- (347) 510-5421
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
349 W Old Country Rd
Hicksville, NY 11801-4107
Mailing address
200 Covert Ave
Floral Park, NY 11001-3741
Phone (347) 510-5421
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2278818 | Healthy Way Medical PC | Certificate of waiver | Mar 23, 2027 |
National Provider Directory
National Provider DirectoryLocations
10825 63rd Ave
Forest Hills, NY 11375
Phone (718) 406-7744
349 W Old Country Rd
Hicksville, NY 11801
Phone (347) 510-5421
Interoperability endpoints
- https://app.meldrx.com/api/fhir/cybermed_healthyway
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Hospitalist Physician
- Mineola, NY
- NPI 1124351093
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319500800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678665600000",
"number": "1508142373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 COVERT AVE",
"city": "FLORAL PARK",
"state": "NY",
"postal_code": "110013741",
"telephone_number": "347-510-5421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "349 W OLD COUNTRY RD",
"city": "HICKSVILLE",
"state": "NY",
"postal_code": "118014107",
"telephone_number": "347-510-5421"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTHY WAY MEDICAL PC",
"organizational_subpart": "NO",
"enumeration_date": "2011-10-25",
"last_updated": "2023-03-13",
"certification_date": "2023-03-13",
"status": "A",
"authorized_official_last_name": "PERSAUD",
"authorized_official_first_name": "LISA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "347-510-5421"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hicksville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.