Persist Healthcare Corp

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

PERSIST HEALTHCARE CORP

Practice address

2 Lawson Ave
Suite 2
East Rockaway, NY 11518-1700

Phone

(866) 473-7747

NPI assigned

Dec 19, 2016

Last updated

Feb 8, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Edward J Lake

Title

President

Phone

(866) 473-7748

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1482105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486512000000",
    "number": "1881139343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 CORDOVA RD",
            "address_2": "SUITE 210",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162115",
            "telephone_number": "866-473-7747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 LAWSON AVE",
            "address_2": "SUITE 2",
            "city": "EAST ROCKAWAY",
            "state": "NY",
            "postal_code": "115181700",
            "telephone_number": "866-473-7747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSIST HEALTHCARE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-19",
        "last_updated": "2017-02-08",
        "status": "A",
        "authorized_official_last_name": "LAKE",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "866-473-7748",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in East Rockaway, NY
• Providers in East Rockaway, NY by specialty
• Prosthetic/Orthotic Supplier in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2017; 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.