Stuart Lawrence Segelnick, D.D.S.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

044106 Issued in NY

Practice address

3165 Emmons Ave Ste C1
Brooklyn, NY 11235-1888

Phone

(718) 743-8279

NPI assigned

Jun 19, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Advanced Periodontal Services, PC

  • Periodontics
  • Brooklyn, NY
  • NPI 1346364296
  NPD (past) Authorized official

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

{
    "created_epoch": "1119139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623801600000",
    "number": "1861497513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3165 EMMONS AVE STE C1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112351888",
            "telephone_number": "718-743-8279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3165 EMMONS AVE STE C1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112351888",
            "telephone_number": "718-743-8279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGELNICK",
        "first_name": "STUART",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-19",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "044106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jimmy R Segarra, LMHC
• Theodore John Segarra, M.D.
• Kathleen Price Segedy, LCSW, MA
• Linda Louise Segel, RN
• Tammy Segelke
• Caitlin Sheridan Seger, LMSW
• Shelly Segev, OTR/L
• Kyle Seglin
• Micheline Segon Numa
• Hannah Christie Corcuera Segui, OT

• 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 Jun 16, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.