Advanced Periodontal Services, PC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

044106 Issued in NY

Legal business name

ADVANCED PERIODONTAL SERVICES, PC

Practice address

1603 Voorhies Ave
Second Floor
Brooklyn, NY 11235-3959

Phone

(718) 743-8279

Fax

(718) 743-9145

NPI assigned

Mar 18, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Stuart Lawrence Segelnick, D.D.S.NPI 1861497513

Title

President

Phone

(718) 743-8279

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stuart Lawrence Segelnick, D.D.S.

  • Periodontics
  • Brooklyn, NY
  • NPI 1861497513
  NPD (past) Authorized official

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

{
    "created_epoch": "1174176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346364296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1603 VOORHIES AVE",
            "address_2": "SECOND FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353959",
            "telephone_number": "718-743-8279",
            "fax_number": "718-743-9145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1603 VOORHIES AVE",
            "address_2": "SECOND FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353959",
            "telephone_number": "718-743-8279",
            "fax_number": "718-743-9145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PERIODONTAL SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SEGELNICK",
        "authorized_official_first_name": "STUART",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-743-8279",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "044106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advanced OB/GYN, PC
• Advanced Oral Surgery of Brooklyn, PLLC
• Advanced Pain Care Medical, P.C.
• Advanced Pathology Laboratory LLC
• Advanced Pediatric Practice PC
• Advanced Physical Therapy of New York PLLC
• Advanced Practice of Medicine PC
• Advanced Psychiatric Care PC
• Advanced Psychological Care PC
• Advanced PT Rehabilitation Associates, PC

• Periodontics in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Periodontics in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.