- Practice location
- 501 Madison Ave, 22ND Floor, Ny, NY 10022
- Phone
- 212-755-1144
- Fax
- 212-371-9629
- Last updated
- September 18, 2024
Madison Avenue Periodontics, P.c. is a healthcare organization based in Ny, NY. Madison Avenue Periodontics, P.c. practices in Ny, NY. The NPI Number for Madison Avenue Periodontics, P.c. is 1275606865 and holds a License No. 35077 (NY). The current practice location address for Madison Avenue Periodontics, P.c. is 501 Madison Ave, 22ND Floor, Ny, NY 10022 and can be reached out via phone at 212-755-1144 and via fax at 212-371-9629.
Provider Profile Details
- NPI Number
- 1275606865
- Provider Name
- Madison Avenue Periodontics, P.c.
- Provider Entity Type
- Organization
- Address
- 501 Madison Ave, 22ND Floor, Ny, NY 10022
- Phone Number
- 212-755-1144
- Fax Number
- 212-371-9629
- Primary Taxonomy
- Dentist · 122300000X
- Organization Subpart
- No
- Authorized Official
- Jenny Garcia-Rocha · Sr Credentialing Team Lead · 972-869-3789
- Other Names
- Matthew Neary DDS & John Lanzetta DMD PC (Former Legal Business Name)
Madison Avenue Periodontics (Doing Business As) - Provider Enumeration Date
- November 15, 2006
- Last Update Date
- September 18, 2024
- Certification Date
- September 18, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 501 Madison Ave
22ND Floor
Ny, NY 10022 - City
- Ny
- State
- New York
- Zip
- 10022
- Phone Number
- 212-755-1144
- Fax Number
- 212-371-9629
Provider Business Mailing Address Details
- Address
- 501 Madison Ave
22ND Floor
Ny, NY 10022 - City
- Ny
- State
- NY
- Zip
- 10022
- Phone Number
- 212-755-1144
- Fax Number
- 212-371-9629
License Information
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentists near Ny, NY
View all Dentists in Ny →Frequently Asked Questions
What is the NPI number of Madison Avenue Periodontics, P.c.?
The NPI number of Madison Avenue Periodontics, P.c. is 1275606865. It was assigned on November 15, 2006 and is currently active in the NPPES registry.
What is the specialty of Madison Avenue Periodontics, P.c.?
Madison Avenue Periodontics, P.c. is registered under the primary taxonomy Dentist (code 122300000X), licensed in NY under license number 35077.
Where does Madison Avenue Periodontics, P.c. practice?
The practice location is 501 Madison Ave, 22ND Floor, Ny, NY 10022. The office can be reached at 212-755-1144 (phone) or 212-371-9629 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1275606865 directly on the NPPES registry website.