Enoch Stephen Persad, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

019086-1 Issued in NY

Practice address

9408 Vanderveer St
Queens Village, NY 11428-1731

Phone

(917) 929-9165

NPI assigned

Aug 8, 2007

Sex

Male

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

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Core Physical Therapy Services PC

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1184269755
  Medicare reassignment NPD
• Advanced Foot Care Associates PLLC

  • Podiatrist
  • Flushing, NY
  • NPI 1134173826
  NPD (past)

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

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186531200000",
    "number": "1841481280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9408 VANDERVEER ST",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114281731",
            "telephone_number": "917-929-9165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9408 VANDERVEER ST",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114281731",
            "telephone_number": "917-929-9165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERSAD",
        "first_name": "ENOCH",
        "middle_name": "STEPHEN",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-08",
        "last_updated": "2007-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "019086-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mythsie Percinthe
• Melissa Perez, LMSW
• Violeta Facinal Perez, RN
• Danielle Perrier
• Christine Perry, MS
• Amrita Persaud, D.D.S
• Deoraj Persaud, LPN
• Sharon Damainee Persaud
• Perspective Insights Inc.
• Amanda Peters, RN

• Physical Therapist in Queens Village, NY
• Providers in Queens Village, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.