Chantal Percy-Seide, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

F304462 Issued in NY

Practice address

10261 66TH Road
North Shore Hospital
Forest Hills, NY 11375

Phone

(718) 830-4316

Fax

(718) 830-1158

NPI assigned

Nov 29, 2006

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599004800000",
    "number": "1932276920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "982 WASHINGTON STREET",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "11510",
            "telephone_number": "516-632-5632",
            "fax_number": "516-417-8560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10261 66TH ROAD",
            "address_2": "NORTH SHORE HOSPITAL",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "11375",
            "telephone_number": "718-830-4316",
            "fax_number": "718-830-1158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERCY-SEIDE",
        "first_name": "CHANTAL",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F304462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaclyn G. Pepe, M.A., LMSW
• Robert Stephen Pepper, LCSW
• Lia Vanessa Peralta, PA-C
• Michell Peralta
• Janine Perazzo, LMSW
• Adelwisa Perez
• Albert Perez
• Clara Perez
• Maria Luisa Perez, PT
• Akiva Perlman, LCSW

• Adult Health Nurse Practitioner in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; 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.