DEVICKA PERSAUD MEDICAL PC (NPI# 1407925977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407925977 |
| Entity Type | Organization |
| Organization Name | DEVICKA PERSAUD MEDICAL PC |
| Practice Address |
11512 Liberty Ave South Richmond Hill NY 11419-1902 |
| Practice Telephone | 7186413389 |
| Mailing Telephone | 7186413389 |
| Mailing Fax Number | 7188796444 |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2012-12-03 |
| Authorized Official Name | DEVICKA DEVI PERSAUD (OWNER) |
| Authorized Official Telephone | 7186413389 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
11512 LIBERTY AVE |
| City | SOUTH RICHMOND HILL |
| State | NY |
| Zip Code | 11419-1902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801965371 | Devicka Persaud | Family Medicine | 11512 Liberty Ave, South Richmond Hill, NY 11419-1902 | 2006-11-07 |
| 1437510559 | Cheddi Bradlaugh Jagan | Dentist | 11512 Liberty Ave, 2b, South Richmond Hill, NY 11419-1902 | 2016-03-16 |
| 1396058293 | Hardath Persaud | Physician Assistant | 11512 Liberty Ave, South Richmond Hill, NY 11419-1902 | 2010-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780218081 | Ny Metro Dental, PC | Dentist | 119-01 Liberty Avenue, Richmond Hill, NY 11419 | 2020-02-25 |
| 1811558646 | Sarah Lindsay Davison | Speech-Language Pathologist | Cuomo First Step Preschool, 115-15 101st Avenue, South Richmond Hill, NY 11419 | 2019-06-24 |
| 1629569983 | Village Star Drugs Inc | Pharmacy | 125-05 Liberty Avenue, S. Richmond Hill, NY 11419 | 2018-05-22 |
| 1023535994 | Sonali Sheth | Pharmacist | Sure Drugs Pharmacy, 118-06 101st Ave., South Richmond, NY 11419 | 2017-08-23 |
| 1518408491 | Therapy Care Pta P.C. | Clinic/Center | 10130 116th St, South Richmond Hill, NY 11419 | 2017-03-13 |
| 1285173526 | Theresa Home Care Agency Inc | Home Health | 110-08 Liberty Ave, Richmond, NY 11419 | 2017-02-20 |
| 1750820163 | Aisha Khizar | Contractor | 13214 101st Ave, South Richmond Hill, NY 11419 | 2017-02-17 |
| 1417492778 | Bhanmatie Balkaran | Licensed Practical Nurse | 105-16 135th Street, South Richmond Hill, NY 11419 | 2016-12-22 |
| 1225571011 | Nzinga Gillis | Behavioral Analyst | 104-29 129th Street, South Richmond Hill, NY 11419 | 2016-11-28 |
| 1740738236 | Arun Thaker | Clinic/Center | 130-05 101 Street, 1, Jamaica, NY 11419 | 2016-09-14 |
| Find all providers in zip 11419 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215202874 | Prime Medical Care, PC | Family Medicine | 11808 101st Ave, South Richmond Hill, NY 11419-1230 | 2012-03-15 |
| 1356612824 | Reginald Hughes, Md PC | Family Medicine | 10305 Lefferts Blvd, South Richmond Hill, NY 11419-2011 | 2012-01-16 |
| 1386957546 | 125 Liberty Medical Pllc | Family Medicine | 12507 Liberty Ave, South Richmond Hill, NY 11419-2233 | 2010-07-16 |
| 1033341185 | Surendra Sugrim | Family Medicine | 13106 Liberty Ave, South Richmond Hill, NY 11419-3124 | 2009-08-21 |
| 1750459384 | Maria Isabel Almonte | Family Medicine | 10105 Lefferts Blvd, Suite 203, South Richmond Hill, NY 11419-2019 | 2006-12-01 |
| 1801965371 | Devicka Persaud | Family Medicine | 11512 Liberty Ave, South Richmond Hill, NY 11419-1902 | 2006-11-07 |
| 1033206420 | Nidhi Jain | Family Medicine | 11220 Liberty Ave, South Richmond Hill, NY 11419-1814 | 2006-10-06 |
| 1942227509 | Gurmukh S Raince | Family Medicine | 11407 101st Ave, South Richmond Hill, NY 11419-1138 | 2006-07-17 |
| 1851338164 | Jagjit Singh | Family Medicine | 11415 101st Ave, South Richmond Hill, NY 11419-1138 | 2006-06-02 |
| 1831157577 | Sarah Faheem Zakaria | Family Medicine | 10414 113th St Fl 1, South Richmond Hill, NY 11419-2506 | 2006-05-03 |
| Find all providers in SOUTH RICHMOND HILL | ||||
| City | SOUTH RICHMOND HILL |
| Zip Code | 11419 |
Please comment or provide details below to improve the information on DEVICKA PERSAUD MEDICAL PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.