Individual provider Active NPI

Dahlia Persaud, NP

  • Pediatric Nurse Practitioner
  • Hamilton, NJ
National Provider Identifier
1750128641
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
26NJ15019700 Issued in NJ
Practice address
3840 Quakerbridge Rd
Hamilton, NJ 08619-1003
Phone
(973) 326-9000
NPI assigned
Jul 9, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 26NJ15019700 NJ Primary

Addresses

Primary practice location

3840 Quakerbridge Rd
Hamilton, NJ 08619-1003

Mailing address

6 Tanforan CT
Matawan, NJ 07747-3521
Phone (718) 598-1588

Other practice location 1

131 Madison Ave Fl 3
Morristown, NJ 07960-7360
Phone (973) 326-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240916003304 NJ Practitioner - Nurse Practitioner 6709327976

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ15019700NJMDPediatric Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1720483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1750128641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 TANFORAN CT",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077473521",
            "telephone_number": "718-598-1588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3840 QUAKERBRIDGE RD",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086191003",
            "telephone_number": "973-326-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "131 Madison Ave Fl 3",
            "address_purpose": "LOCATION",
            "city": "Morristown",
            "state": "NJ",
            "postal_code": "079607360",
            "country_code": "US",
            "telephone_number": "973-326-9000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERSAUD",
        "first_name": "DAHLIA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-09",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NJ",
            "license": "26NJ15019700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, NJ

Sources for this page

Verify at the official NPI Registry.