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DEVICKA PERSAUD MEDICAL PC
NPI 1407925977
Family Medicine in South Richmond Hill, NY

Active since November 07, 2006
11512 LIBERTY AVE, SOUTH RICHMOND HILL, NY 11419(718) 641-3389 Get Directions Write a Review

NPPES record last updated: December 3, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Devicka Persaud Medical Pc NPPES

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

DEVICKA PERSAUD MEDICAL PC (NPI 1407925977) is a healthcare organization registered as a family medicine in South Richmond Hill, New York and active in the NPI registry since November 2006. The organization lists Devicka Devi Persaud, Owner, as its authorized official.

NPPES Registry Identity

NPI1407925977
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDEVICKA PERSAUD MEDICAL PC
Location Address11512 LIBERTY AVESouth Richmond Hill, NY 11419-1902
Mailing Address11512 Liberty AveSouth Richmond Hill, NY 11419-1902 · (718) 641-3389 · Fax (718) 879-6444
Phone(718) 641-3389
Organization SubpartNo
Authorized OfficialDevicka Devi PersaudOwner · (718) 641-3389
Enumeration DateNovember 7, 2006
Last NPPES UpdateDecember 3, 2012
✔ NPI 1407925977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
11512 LIBERTY AVE, South Richmond Hill, NY 11419
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

HARDATH PERSAUD RPA
Physician Assistant (Medical)
11512 LIBERTY AVE
SOUTH RICHMOND HILL, NY 11419
Queens County (718) 641-3389
MR. CHEDDI BRADLAUGH JAGAN D.D.S.
Dentist
11512 LIBERTY AVE, 2B
SOUTH RICHMOND HILL, NY 11419
Queens County (917) 657-3901
DEVICKA PERSAUD DO
Family Medicine
11512 LIBERTY AVE
SOUTH RICHMOND HILL, NY 11419
Queens County (718) 641-3389

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 Devicka Persaud Medical PC's NPI number?

The NPI number for Devicka Persaud Medical PC is 1407925977. It was assigned to this organization in the NPPES registry on November 7, 2006.

Where is Devicka Persaud Medical PC located?

Devicka Persaud Medical PC is located at 11512 Liberty Ave, South Richmond Hill, NY 11419. The listed phone number is (718) 641-3389.

What is Devicka Persaud Medical PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Devicka Persaud Medical PC was last updated on December 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.