MRS. JENNIFER SHAKUNTALA PERSAD (NPI# 1932345865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932345865 |
| Entity Type | Individual |
| Full Name | MRS. JENNIFER SHAKUNTALA PERSAD |
| Credential | NP |
| Practice Address |
27 Verona Pl Valley Stream NY 11580-5421 |
| Practice Telephone | 5167283601 |
| Practice Fax Number | 5168120071 |
| Mailing Telephone | 5167283601 |
| Mailing Fax Number | 5168120071 |
| Enumeration Date | 2008-12-24 |
| Last Update Date | 2008-12-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
513619 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
513619 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
27 VERONA PL |
| City | VALLEY STREAM |
| State | NY |
| Zip Code | 11580-5421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807276 | Jason Diana Lmsw | Clinic/Center | 50 West Hawthorne Ave 2nd Floor, Valley Stream, NY 11580 | 2020-10-09 |
| 1346853033 | R.l. Physical Therapy | Physical Therapist | 1676 Putney Road, Valley Stream, NY 11580 | 2020-08-24 |
| 1427523869 | Jessica Doyle | Social Worker | 5-11 Pflug Pl, Valley Stream, NY 11580 | 2018-10-12 |
| 1013491026 | Syeda Afshan Firdous | Licensed Practical Nurse | 13 Cleaveland St, Valley Stream, NY 11580 | 2018-09-17 |
| 1700377934 | Jisha Merin Mathew | Nurse Practitioner | 1835 Oliver Ave, Apt 4, Valley Stream, NY 11580 | 2018-05-23 |
| 1669970273 | Terrice Bell | Social Worker | 50 W Hawthorne Avenue, Valley Streams, NY 11580 | 2018-01-29 |
| 1659883718 | Rita M. Fowler | Registered Nurse | 33 West Hawthorne Ave. Suite 31, New York Health Care, Valley Stream, NY 11580 | 2017-10-30 |
| 1881104768 | Sharon Stephenson | Peer Specialist | 51 Foster Avenue, North Valley Stream, Valley Stream, NY 11580 | 2017-10-05 |
| 1356850200 | Barry Henderson | Case Manager/Care Coordinator | 23 Marlow Road, Valley Stream, NY 11580 | 2017-09-22 |
| 1922526565 | Aneta Kaczmarski | Physical Therapy Assistant | 299 North Corona Ave, Valley Stream, NY 11580 | 2017-09-05 |
| Find all providers in zip 11580 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063838795 | Kemesha Scott-denehy | Nurse Practitioner | 42 Rose Ave, Valley Stream, NY 11580-3221 | 2014-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528667169 | Noemi Villanueva Sta Ana | Nurse Practitioner | 1738 Newbridge Rd Unit 1, North Bellmore, NY 11710-1657 | 2020-10-24 |
| 1881292050 | Andrew Hirschhorn | Nurse Practitioner | 1435 Weaver St, Scarsdale, NY 10583-7018 | 2020-10-11 |
| 1154932036 | Brian Lorenzen | Nurse Practitioner | 25 Barker St Apt 513, Mount Kisco, NY 10549-1635 | 2020-08-13 |
| 1457961062 | Rosaleen Christine Galvin | Nurse Practitioner | 415 East 80th St, Apt. 1n, New York, NY 10075 | 2020-08-07 |
| 1477171684 | Rejane Duarte | Nurse Practitioner | 2600 Netherland Ave Ste 104, Bronx, NY 10463-4813 | 2020-07-14 |
| 1962029009 | Sharon Wu | Nurse Practitioner | 2426 W 3rd St, Brooklyn, NY 11223-5930 | 2020-07-05 |
| 1598381535 | Xue Qin Gao | Nurse Practitioner | 71-44 160th St. Unit 1, Flushing, NY 11365-3088 | 2020-06-24 |
| 1619590486 | Jan Jeremiah | Nurse Practitioner | 3839 Flatlands Ave Ste 100, Brooklyn, NY 11234-3535 | 2020-05-27 |
| 1205459534 | Shyan Indera Jagdeo | Nurse Practitioner | 645 W Broadway, Long Beach, NY 11561-2956 | 2020-05-21 |
| 1487276002 | Rosemary Elizabeth Carro | Nurse Practitioner | 21 Adams Farm Rd, Katonah, NY 10536-3166 | 2020-05-18 |
| Find all providers with the same taxonomy | ||||
| City | VALLEY STREAM |
| Zip Code | 11580 |
Please comment or provide details below to improve the information on MRS. JENNIFER SHAKUNTALA PERSAD.
| 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.