PRISCILLA PERSAUD (NPI# 1457640088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457640088 |
| Entity Type | Individual |
| Full Name | PRISCILLA PERSAUD |
| Credential | M.D. |
| Practice Address |
125 Oakland Ave Ste 204 Port Jefferson NY 11777-2130 |
| Practice Telephone | 6316861400 |
| Enumeration Date | 2011-04-05 |
| Last Update Date | 2018-10-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 275805-1 | NY | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
125 OAKLAND AVE STE 204 |
| City | PORT JEFFERSON |
| State | NY |
| Zip Code | 11777-2130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790244317 | Michael Kenneth Tax | Licensed Practical Nurse | 125 Oakland Ave Ste 204, Port Jefferson, NY 11777-2130 | 2019-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568088615 | Aqsa Ashraf | Student in an Organized Health Care Education/Training Program | 75 N Country Road Mather Hospital Internal Medicine Res, Port Jefferson, NY 11777 | 2020-06-24 |
| 1366068975 | Manal Ahmad | Student in an Organized Health Care Education/Training Program | 75 N County Rd, Level 2 Cmo Suite, Internal Medicine Re, Mather Hospital, Port Jefferson, NY 11777 | 2020-06-19 |
| 1639794555 | Umair Ahmad Ansari | Student in an Organized Health Care Education/Training Program | 75 N Country Road Mother Hospital, Internal Medicine Re, Level 2 - Cmd Suite, Port Jefferson, NY 11777 | 2020-06-16 |
| 1578188132 | Manasi Sule | Student in an Organized Health Care Education/Training Program | 75 N Country Rd, Mather Hospital, Internal Medicine Res, Port Jefferson, NY 11777 | 2020-06-10 |
| 1508480716 | Imona Subedi | Student in an Organized Health Care Education/Training Program | 75 N Country Road, Level 2 - Cmo Suite, Mather Hospital Internal Medicine Residency Program, Port Jefferson, NY 11777 | 2020-06-03 |
| 1184252108 | Romana Imtiaz Syed | Student in an Organized Health Care Education/Training Program | Liza M Dominioni,mather Hospital,internal Medicine, Residency Program,level 2-cmo Suite,75 N Country Rd, Port Jefferson, NY 11777 | 2020-03-27 |
| 1649807348 | Mustafa Mohammed Abdulsada | Student in an Organized Health Care Education/Training Program | 75 N Country Rd, Ny, Level 2 - Cmo Suite, Port Jefferson, NY 11777 | 2020-03-24 |
| 1184264764 | Girma Moges Gamme | Surgery | 625 Belle Terre Rd, Suite 203 Mather Hospital, Port Jefferson, NY 11777 | 2020-01-10 |
| 1811554637 | Kausar Ali | Nurse Practitioner | 408 Thompson Street, Port Jefferson, NY 11777 | 2019-05-28 |
| 1073097531 | Ministry for Hope, Inc. Montfort Therapeutic Residence | Residential Treatment Facility, Physical Disabilities | 100 Stonyhill Road, Port Jefferson, NY 11777 | 2018-09-20 |
| Find all providers in zip 11777 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821442773 | Imran Husain | Internal Medicine | 75 N County Road, Port Jefferson, NY 11777 | 2016-04-18 |
| 1457622979 | Frank Nicholas Tucci | Internal Medicine | 45 Old Homestead Road, Port Jefferson, NY 11777-1108 | 2012-01-13 |
| 1124395140 | Ismael V. David | Internal Medicine | 6 Anchorage Rd, Port Jefferson, NY 11777-1051 | 2011-11-18 |
| 1457650210 | Georgia Kulina | Internal Medicine | 125 Oakland Ave Ste 203, Port Jefferson, NY 11777 | 2011-03-19 |
| 1255656211 | Lorenzo Zanotti | Internal Medicine | 6 Presidents Dr Apt 4a, Port Jefferson, NY 11777-2054 | 2010-04-02 |
| 1972771004 | Port Jefferson Ekg Associates | Internal Medicine | John T. Mather Memorial Hospital, 75 North Country Road, Port Jefferson, NY 11777 | 2008-02-12 |
| 1508076357 | Jacob - Swinkin | Internal Medicine | 19 Princess Tree Ct, Port Jefferson, NY 11777-1741 | 2007-05-23 |
| 1629075387 | Imtiaz A Khokhar | Internal Medicine | 75 North Country Road, Port Jefferson, NY 11777 | 2005-07-07 |
| 1104820018 | Mark J. Kropf | Internal Medicine | 200 Belle Terre Road, Suite 100, Port Jefferson, NY 11777-1928 | 2005-06-08 |
| 1548797913 | Mathew S Hensley | Internal Medicine | 75 N Country Rd, Port Jefferson, NY 11777 | 2017-05-17 |
| Find all providers in PORT JEFFERSON | ||||
| City | PORT JEFFERSON |
| Zip Code | 11777 |
Please comment or provide details below to improve the information on PRISCILLA PERSAUD.
| 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.