Kristal Shivana Persaud, RPA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

23 012865 Issued in NY

Practice address

111 East 210TH Street
Montefiore Medical Center
Bronx, NY 10467-2490

Phone

(718) 920-4321

NPI assigned

Oct 21, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: krp9019@direct.nyp.org

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224547200000",
    "number": "1679725626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 WARING AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104695439",
            "telephone_number": "646-245-0064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 EAST 210TH STREET",
            "address_2": "MONTEFIORE MEDICAL CENTER",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104672490",
            "telephone_number": "718-920-4321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERSAUD",
        "first_name": "KRISTAL",
        "middle_name": "SHIVANA",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-21",
        "last_updated": "2008-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "23 012865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chandrowti Persaud, PHYSICIAN ASSISTANT
• Charlene Persaud, P.A.
• Christina L. Persaud, M.D.
• Gunanand Persaud Jr., D.D.S.
• Jennifer L Persaud, PA
• Michael K Persaud, PA
• Nurije Persaud, FNP
• Renukah Persaud, M.S.
• Shawna Kayla Persaud
• Surojnie L Persaud, LMSW

• Medical Physician Assistant in Bronx, NY
• Providers in Bronx, NY by specialty
• Medical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.