Active NPI
Perry S Perzov, DDS, FAGD
- General Practice Dentistry
- Roslyn, NY
National Provider Identifier
1346334497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 034357
- Practice address
- 55 Bryant Ave
Suite 5
Roslyn, NY 11576-1137 - Phone
- (516) 621-7566
- Fax
- (516) 621-0385
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 034357 | NY | Primary |
Addresses
Primary practice location
55 Bryant Ave
Suite 5
Roslyn, NY 11576-1137
Mailing address
21 Pound Ridge Rd
Plainview, NY 11803-1818
Phone (516) 367-7060
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 034357 | NY | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1346334497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 POUND RIDGE RD",
"city": "PLAINVIEW",
"state": "NY",
"postal_code": "118031818",
"telephone_number": "516-367-7060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 BRYANT AVE",
"address_2": "SUITE 5",
"city": "ROSLYN",
"state": "NY",
"postal_code": "115761137",
"telephone_number": "516-621-7566",
"fax_number": "516-621-0385"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERZOV",
"first_name": "PERRY",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "DDS, FAGD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "034357",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roslyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.