Mariam Pervaiz

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1225775 Issued in NY

Practice address

1434 Ocean Ave Apt 2L
Brooklyn, NY 11230-3813

Phone

(718) 753-6528

NPI assigned

Dec 14, 2022

Last updated

Aug 2, 2026By 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

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": "1670976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785628800000",
    "number": "1902518624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1434 OCEAN AVE APT 2L",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112303813",
            "telephone_number": "718-753-6528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1434 OCEAN AVE APT 2L",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112303813",
            "telephone_number": "718-753-6528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERVAIZ",
        "first_name": "MARIAM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-14",
        "last_updated": "2026-08-02",
        "certification_date": "2026-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "1225775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yuriy Pertsovsky
• Jennifer Peruggia, PT
• Krishna S Perumareddi, MD
• Pervaiz Medical Pulmonary Care P.C.
• Henna Pervaiz
• Salman Pervaiz, MD
• Sami Pervaiz, DO
• Rahila Pervez, M.D.
• Mona Pervil-Ulysse, M.D.
• Pesach Tikvah Door of Hope

• Physician Assistant in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2026; 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.