Alan Pernikoff, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

058230 Issued in NY

Practice address

1174 E 24TH St
Brooklyn, NY 11210

Phone

(718) 986-7302

NPI assigned

Apr 24, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1398297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530576000000",
    "number": "1396165684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1174 E 24TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112104507",
            "telephone_number": "718-986-7302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1174 E 24TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11210",
            "telephone_number": "718-986-7302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERNIKOFF",
        "first_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-24",
        "last_updated": "2018-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "058230",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "058230",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Perlstein
• Seymour Harold Perlstein, MD
• Yaakov Perlstein, NP
• Jana Perman
• Deanna Pernice, MS
• Shayna Pernikoff
• Kimberly Sarah Pernudi, MD
• Lindsey Perotti
• Marina Perper
• Sassia Perpignant

• 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 Jul 3, 2018; 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.