Melissa Lynn Perrino, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

055719 Issued in NY

Practice address

1808 Merrick Rd
Merrick, NY 11566-4530

Phone

(516) 378-7070

NPI assigned

Jul 14, 2010

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: mperrino30841@mlh.direct-ci.com

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1279065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1114230596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1808 MERRICK RD",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115664530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1808 MERRICK RD",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115664530",
            "telephone_number": "516-378-7070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2171 Jericho Tpke Ste 115",
            "address_purpose": "LOCATION",
            "city": "Commack",
            "state": "NY",
            "postal_code": "117252900",
            "country_code": "US",
            "telephone_number": "631-462-5757",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERRINO",
        "first_name": "MELISSA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-14",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "055719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roseann Penna
• Jodi Samantha Penstein, OTR/L
• Kathryn Perafan, MSED
• Kylie Pernice, LMSW
• Aldo Joseph Perrino, D.D.S.
• Sarah Peters
• Dominique Leigh Petrie, PA-C
• Demetra Petrochilos
• Maria Petrolekas, PSY.D.
• Mary Louise Pettiweber, OTR

• General Practice Dentistry in Merrick, NY
• Providers in Merrick, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.