NPIMap

Organization Active NPI

Parkway Medical PLLC

  • Physical Medicine & Rehabilitation Physician
  • Brooklyn, NY
National Provider Identifier
1982877593
Registry record updated Dec 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
200246 Issued in NY
Legal business name
PARKWAY MEDICAL PLLC
Practice address
2965 Ocean Pkwy Ste 214
Brooklyn, NY 11235-8014
Phone
(718) 368-2200
NPI assigned
Apr 4, 2008
Last updated
Dec 8, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2010

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

Authorized official

Name
Dr. Lisa Persaud, MDNPI 1124351093
Title
Member
Phone
(718) 368-2200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 200246 NY Primary

Addresses

Primary practice location

2965 Ocean Pkwy Ste 214
Brooklyn, NY 11235-8014

Mailing address

2965 Ocean Pkwy Ste 214
Brooklyn, NY 11235-8014
Phone (718) 368-2200

Other identifiers 1

IdentifierTypeStateIssuer
03171822MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1207267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291766400000",
    "number": "1982877593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2965 OCEAN PKWY STE 214",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112358014",
            "telephone_number": "718-368-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2965 OCEAN PKWY STE 214",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112358014",
            "telephone_number": "718-368-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKWAY MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-04",
        "last_updated": "2010-12-08",
        "status": "A",
        "authorized_official_last_name": "PERSAUD",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "718-368-2200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "200246",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03171822",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2010; 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.