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

Q: 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.

Q: What is Anisa Ali-perez's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Anisa Ali-perez was last updated on October 5, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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: August 16, 2026.

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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

Phone(631) 737-0100

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

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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.

TARA K SINGH MD

Internal Medicine