Brian S Margolis, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

042155 Issued in NY

Practice address

333 Glen Head Rd
Ste 170
Old Brookville, NY 11545

Phone

(516) 484-4741

Fax

(516) 484-6058

NPI assigned

Apr 13, 2007

Last updated

May 8, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

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.

Opted out of Medicare

Yes, effective Jul 27, 2015 through Jul 27, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Brian S. Margolis DDS PC

  dba Periodontal Associates of Long Island

  • Periodontics
  • Old Brookville, NY
  • NPI 1831918879
  NPD

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1578788824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 GLEN HEAD RD",
            "address_2": "STE 170",
            "city": "OLD BROOKVILLE",
            "state": "NY",
            "postal_code": "11545",
            "telephone_number": "516-993-9290",
            "fax_number": "516-484-6058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 GLEN HEAD RD",
            "address_2": "STE 170",
            "city": "OLD BROOKVILLE",
            "state": "NY",
            "postal_code": "11545",
            "telephone_number": "516-484-4741",
            "fax_number": "516-484-6058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARGOLIS",
        "first_name": "BRIAN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-13",
        "last_updated": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "042115",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "042155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian S. Margolis DDS PC (Periodontal Associates of Long Island)
• Catherine Chin, LMT
• Glen Head Medical PC
• Bruce Martin Jaslow, DDS
• Timothy Li, ACUPUNCTURIST
• Karen Wachsberg Mallin, LICENSED CLINICAL SO

• Periodontics in Old Brookville, NY
• Providers in Old Brookville, NY by specialty
• Periodontics in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2025; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.