Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Justin Persaud, PA-C

Individual provider Medical Physician Assistant · NPI 1073430179

Justin Persaud, PA-C is a Medical Physician Assistant in Bayside, New York. Licensed in New York. Registered with an NPI since 2026.

Licensed in
NY
In the registry since
2026
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4211 Bell Blvd Bay Bayside
Bayside, NY 11361-2863
Phone: (212) 385-3700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X (NY)

Record details

NPI number1073430179
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 1, 2026
Last updated in NPPESJuly 1, 2026
Certification dateJuly 1, 2026

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