ANISA ALI-PEREZ PA
NPI 1255370540
Physician Assistant in Lake Ronkonkoma, NY

Active since June 05, 2006
640 HAWKINS AVE, LAKE RONKONKOMA, NY 11779(631) 737-0100(631) 417-1117 Get Directions Write a Review

NPPES record last updated: October 5, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Anisa Ali-perez Pa NPPES

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

ANISA ALI-PEREZ PA (NPI 1255370540) is an individual physician assistant in Lake Ronkonkoma, New York, licensed in New York (001915) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1255370540
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameANISA ALI-PEREZCredential: PA
Location Address640 HAWKINS AVELake Ronkonkoma, NY 11779-2324
Mailing Address1000 Zeckendorf BlvdGarden City, NY 11530-2133 · (516) 542-6880 · Fax (516) 542-5556
Fax(631) 417-1117
Sole ProprietorNo
Enumeration DateJune 5, 2006
Last NPPES UpdateOctober 5, 2011
NPI 1255370540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NY · 001915
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

640 HAWKINS AVE, Lake Ronkonkoma, NY 11779

Other Identifiers 1

Medicare ID-Type Unspecified5F5851NY

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
640 HAWKINS AVE
LAKE RONKONKOMA, NY 11779
Pharmacist
640 HAWKINS AVE
LAKE RONKONKOMA, NY 11779
Internal Medicine
640 HAWKINS AVE
LAKE RONKONKOMA, NY 11779
Internal Medicine
640 HAWKINS AVE
LAKE RONKONKOMA, NY 11779
Family Medicine
640 HAWKINS AVE
LAKE RONKONKOMA, NY 11779
Family Medicine
640 HAWKINS AVE
LAKE RONKONKOMA, NY 11779
Dermatology
640 HAWKINS AVE
LAKE RONKONKOMA, NY 11779
Internal Medicine
640 HAWKINS AVE
LAKE RONKONKOMA, NY 11779

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 Anisa Ali-perez's NPI number?

The NPI number for Anisa Ali-perez is 1255370540. It was assigned to this individual provider in the NPPES registry on June 5, 2006.

Where is Anisa Ali-perez located?

Anisa Ali-perez practices at 640 Hawkins Ave, Lake Ronkonkoma, NY 11779. The listed phone number is (631) 737-0100.

What is Anisa Ali-perez's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Anisa Ali-perez was last updated on October 5, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.