Active NPI
Vishwamintra Persaud, M.D.,
- Internal Medicine Physician
- New York, NY
National Provider Identifier
1558461228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 207867
- Practice address
- 308A E 15TH St
New York, NY 10003-4001 - Phone
- (212) 420-6460
- NPI assigned
- Sep 23, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 207867 | NY | Primary |
Addresses
Primary practice location
308A E 15TH St
New York, NY 10003-4001
Mailing address
308A E 15TH St
New York, NY 10003-4001
Phone (212) 420-6460
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02205163 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216080000000",
"number": "1558461228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "308A E 15TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100034001",
"telephone_number": "212-420-6460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "308A E 15TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100034001",
"telephone_number": "212-420-6460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERSAUD",
"first_name": "VISHWAMINTRA",
"credential": "M.D.,",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-23",
"last_updated": "2008-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "207867",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02205163",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.