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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

JUSTIN PERSAUD PA-C
NPI 1073430179
Physician Assistant - Medical in Bayside, NY

Active since July 01, 2026
4211 BELL BLVD BAY BAYSIDE, BAYSIDE, NY 11361(212) 385-3700 Get Directions Write a Review

NPPES record added: July 1, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Justin Persaud Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUSTIN PERSAUD PA-C (NPI 1073430179) is an individual medical provider in Bayside, New York and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1073430179
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameJUSTIN PERSAUDCredential: PA-C
Location Address4211 BELL BLVD BAY BAYSIDEBayside, NY 11361-2863
Mailing Address8978 214th StQueens Village, NY 11427-2330 · (718) 440-5607
Phone(212) 385-3700
Sole ProprietorNo
Enumeration DateJuly 1, 2026
NPPES CertifiedJuly 1, 2026
✔ NPI 1073430179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
4211 BELL BLVD BAY BAYSIDE, Bayside, NY 11361
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Justin Persaud's NPI number?

The NPI number for Justin Persaud is 1073430179. It was assigned to this individual provider in the NPPES registry on July 1, 2026.

Where is Justin Persaud located?

Justin Persaud practices at 4211 Bell Blvd Bay Bayside, Bayside, NY 11361. The listed phone number is (212) 385-3700.

What is Justin Persaud's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Justin Persaud was last updated on July 1, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.