Active NPI
Anne Claire Pernot, DDS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Garden City Park, NY
National Provider Identifier
1982440863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 065049
- Practice address
- 2313 Jericho Tpke
Garden City Park, NY 11040-4709 - Phone
- (201) 308-8181
- NPI assigned
- Jul 1, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 065049 | NY | Primary |
Addresses
Primary practice location
2313 Jericho Tpke
Garden City Park, NY 11040-4709
Mailing address
29 Oregon Ave
Medford, NY 11763-3721
Phone (631) 816-1974
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 065049 | NY | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757462400000",
"number": "1982440863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 OREGON AVE",
"city": "MEDFORD",
"state": "NY",
"postal_code": "117633721",
"telephone_number": "631-816-1974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2313 JERICHO TPKE",
"city": "GARDEN CITY PARK",
"state": "NY",
"postal_code": "110404709",
"telephone_number": "201-308-8181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERNOT",
"first_name": "ANNE CLAIRE",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-01",
"last_updated": "2025-09-10",
"certification_date": "2025-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "NY",
"license": "065049",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garden City Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.