Adeline Yvette Persaud, FNP-C

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

26NJ00743000 Issued in NJ

Practice address

101 Campbell Blvd Unit 7301
Manahawkin, NJ 08050-6220

Phone

(908) 783-7322

NPI assigned

Aug 16, 2017

Last updated

Aug 16, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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 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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Personal NP Services, LLC

  dba Vitality NP Services

  • Nurse Practitioner
  • Lakewood, NJ
  • NPI 1649658105
  Medicare reassignment NPD

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

{
    "created_epoch": "1502841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502841600000",
    "number": "1851817324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 CAMPBELL BLVD UNIT 7301",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080506220",
            "telephone_number": "908-783-7322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CAMPBELL BLVD UNIT 7301",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080506220",
            "telephone_number": "908-783-7322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERSAUD",
        "first_name": "ADELINE",
        "middle_name": "YVETTE",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-16",
        "last_updated": "2017-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "26NJ00743000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pathways Neuropsychology Associates
• Pavilion Womens Health Associates PA
• Brittany Paynter
• Pediatric Behavioral Solutions, LLC
• Carey Penrod, D.O.
• Victoria Lee Petruzziello, OT
• Cassidy Frances Pfluge
• Pharmacy Solutions LLC
• Kristina Ann Pineno, SLP
• Donna Marie Piri Sandler, RN APN

• Family Medicine Physician in Manahawkin, NJ
• Providers in Manahawkin, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.