Organization Active NPI

Andrea N Persaud MD PC

  • Specialist
  • New York, NY
National Provider Identifier
1649353962
Registry record updated Jul 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
ANDREA N PERSAUD MD PC
Practice address
36 E 36TH St
PH a Suite 202
New York, NY 10016-3453
Phone
(212) 683-6073
NPI assigned
Oct 23, 2006
Last updated
Jul 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2008

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

Authorized official

Name
Dr. Andrea Nandini Persaud, MD
Title
Physician
Phone
(917) 734-2326

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

36 E 36TH St
PH a Suite 202
New York, NY 10016-3453

Mailing address

1500 Lexington Ave
# 9K
New York, NY 10029-7349
Phone (917) 734-2326

National Provider Directory

National Provider Directory

Locations

36 E 36th St
Ste 202
New York, NY 10016
Phone (212) 683-6073

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1649353962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 LEXINGTON AVE",
            "address_2": "# 9K",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100297349",
            "telephone_number": "917-734-2326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 E 36TH ST",
            "address_2": "PH A SUITE 202",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100163453",
            "telephone_number": "212-683-6073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREA N PERSAUD MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2008-07-14",
        "status": "A",
        "authorized_official_last_name": "PERSAUD",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "NANDINI",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "917-734-2326",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 14, 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.

Verify at the official NPI Registry.