Persaud Medical, PLLC

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

228552 Issued in NY

Legal business name

PERSAUD MEDICAL, PLLC

Practice address

150 Broadhollow Rd
Suite 311
Melville, NY 11747-4905

Phone

(631) 470-7915

Fax

(631) 470-7922

NPI assigned

Mar 28, 2007

Organization subpart

No

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

Authorized official

Name

Aretha Persaud, MD

Title

Owner

Phone

(631) 470-7915

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HBJGDD

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Laura Anne Davide, RPA-C

  • Physician Assistant
  • Melville, NY
  • NPI 1578771895
  Medicare reassignment Care Compare group
• Aretha Nanda Persaud-Mancusi, M.D.

  • Family Medicine Physician
  • Melville, NY
  • NPI 1497861843
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293494400000",
    "number": "1942329107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 BROADHOLLOW RD",
            "address_2": "SUITE 311",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117474905",
            "telephone_number": "631-470-7915",
            "fax_number": "631-470-7922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 BROADHOLLOW RD",
            "address_2": "SUITE 311",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117474905",
            "telephone_number": "631-470-7915",
            "fax_number": "631-470-7922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSAUD MEDICAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2010-12-28",
        "status": "A",
        "authorized_official_last_name": "PERSAUD",
        "authorized_official_first_name": "ARETHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-470-7915",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NY",
            "license": "228552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarina Marie Perez, BCBA
• Perkinelmer Labs, Inc.
• Rebecca Perkins
• Catherine Pernice
• Ella Perper
• Aretha Nanda Persaud-Mancusi, M.D.
• Perumal Raja Thiyagarajan MD Internal Medicine PLLC
• Panagiotis Petrochilos
• Donna Marie Petrone
• Laurel Pettit, DPT

• Adult Medicine Physician in Melville, NY
• Providers in Melville, NY by specialty
• Adult Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2010; 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.