Rosemary Pertab

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Practice address

13049 122ND St
South Ozone Park, NY 11420-2707

Phone

(646) 418-2728

NPI assigned

Jul 6, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1341532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341532800000",
    "number": "1679838668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13049 122ND ST",
            "city": "SOUTH OZONE PARK",
            "state": "NY",
            "postal_code": "114202707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13049 122ND ST",
            "city": "SOUTH OZONE PARK",
            "state": "NY",
            "postal_code": "114202707",
            "telephone_number": "646-418-2728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERTAB",
        "first_name": "ROSEMARY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-06",
        "last_updated": "2012-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Venita Persaud
• Jennifer Persaud
• Nalini Shalini Persaud, LCSW
• Rishana Persaud
• Kimberly Paige Persico
• Mauldree D Phillips
• Paul Matthew Phillips, LMSW
• Phoenix NP in Psychiatry and NP in Adult Health Services PLLC
• Marcus Roger Pierre, RRT
• Mayra Plaza

• Early Intervention Provider Agency in South Ozone Park, NY
• Providers in South Ozone Park, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2012; 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.