Active NPI
Kimberly Joseph-Persaud
- Family Nurse Practitioner
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 345578
- Practice address
- 754 E 151St St
Bronx, NY 10455-3267 - Phone
- (718) 684-9422
- NPI assigned
- Feb 14, 2020
- Last updated
- Feb 14, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 345578 | NY | Primary |
Addresses
Primary practice location
754 E 151St St
Bronx, NY 10455-3267
Mailing address
437 White Plains Rd
Bronx, NY 10473-2440
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sun River Health Inc.
Practice addresses (Care Compare)
1037 Main St
Peekskill, NY 10566-2913
Phone (914) 734-8800
1200 Brown St
Peekskill, NY 10566-2913
3379 Crompond Rd
Yorktown Heights, NY 10598-3605
Phone (914) 930-5550
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 345578 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nuvoair Medical PC | Current | Accepting new patients | |
| Westchester Health Medical, P.C. | Current | Accepting new patients | |
| Divinity Medical Services PLLC | Current | Accepting new patients | |
| Westchester Health Medical, P.C. | Current | Accepting new patients | |
| Nuvoair Medical PC | Current | Accepting new patients |
Locations
91 Smith Ave
Mount Kisco, NY 10549
Phone (914) 241-1717
1111 Marcus Ave
Ste M04
New Hyde Park, NY 11042
Phone (585) 736-3650
510 Clinton Sq
Rochester, NY 14604
Phone (561) 208-1970
691 Old Route 6
Shrub Oak, NY 10588
Phone (914) 245-2270
3379 Crompond Rd
Yorktown Hts, NY 10598
Phone (914) 245-1111
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581638400000",
"number": "1649803974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "437 WHITE PLAINS RD",
"city": "BRONX",
"state": "NY",
"postal_code": "104732440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "754 E 151ST ST",
"city": "BRONX",
"state": "NY",
"postal_code": "104553267",
"telephone_number": "718-684-9422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOSEPH-PERSAUD",
"first_name": "KIMBERLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-14",
"last_updated": "2020-02-14",
"certification_date": "2020-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "345578",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2020; 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.