Madison Avenue Periodontics, P.C.
NPI 1275606865ActiveOrganization· Dentist· Ny, NY
Dentist in Ny, New York, registered in NPPES in November 2006. The authorized official on file is Jenny Garcia-Rocha, Sr Credentialing Team Lead.
Overview
| NPI | 1275606865 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 15, 2006 |
| Last updated in NPPES | Sep 18, 2024 |
| Certified by provider | Sep 18, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 047299 | NY |
| Dentist | 122300000X | 35077 | NY |
| Dentist | 122300000X | 041733 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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