Brian S. Margolis DDS PC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

BRIAN S. MARGOLIS DDS PC

Practice address

333 Glen Head Rd
Suite # 170
Old Brookville, NY 11545

Phone

(516) 484-4741

NPI assigned

Oct 7, 2024

Organization subpart

No

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

Authorized official

Name

Jenny Garcia-Rocha

Title

Sr Credentialing Team Lead

Phone

(972) 869-3789

Specialties & licenses 1

Addresses

Other names 1

• Periodontal Associates of Long Island Doing business as

Locations

Practitioners 2

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

• Gazelle Jean Crasto, DDS, PHD

  • Periodontics
  • Glen Head, NY
  • NPI 1891312419
  NPD
• Brian S Margolis, DDS

  • Periodontics
  • Old Brookville, NY
  • NPI 1578788824
  NPD

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

{
    "created_epoch": "1728259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728259200000",
    "number": "1831918879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 GLEN HEAD RD",
            "address_2": "SUITE # 170",
            "city": "OLD BROOKVILLE",
            "state": "NY",
            "postal_code": "11545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 GLEN HEAD RD",
            "address_2": "SUITE # 170",
            "city": "OLD BROOKVILLE",
            "state": "NY",
            "postal_code": "11545",
            "telephone_number": "516-484-4741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN S. MARGOLIS DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-07",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-04",
        "status": "A",
        "authorized_official_last_name": "GARCIA-ROCHA",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "SR CREDENTIALING TEAM LEAD",
        "authorized_official_telephone_number": "972-869-3789"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Periodontal Associates of Long Island",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Catherine Chin, LMT
• Glen Head Medical PC
• Bruce Martin Jaslow, DDS
• Timothy Li, ACUPUNCTURIST
• Brian S Margolis, DDS

• 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 Oct 7, 2024; 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.