DR. ALAN PERNIKOFF (NPI# 1396165684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396165684 |
| Entity Type | Individual |
| Full Name | DR. ALAN PERNIKOFF |
| Credential | DDS |
| Practice Address |
1174 E 24th St Brooklyn NY 11210 |
| Mailing Address |
1174 E 24th St Brooklyn NY 11210-4507 |
| Practice Telephone | 7189867302 |
| Mailing Telephone | 7189867302 |
| Enumeration Date | 2014-04-24 |
| Last Update Date | 2018-07-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
058230 | NY | Dental Providers |
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
058230 | NY | Dental Providers |
| Street Address |
1174 E 24TH ST |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598379554 | Maureen Rene | Health Educator | 3601 Avenue J Apartment C6, Brooklyn, NY 11210 | 2020-09-06 |
| 1346859501 | Karece Lopez | Speech-Language Pathologist | 2665 Bedford Avenue, 2c, Brooklyn, NY 11210 | 2020-07-23 |
| 1164049078 | Christopher Rose Community Empowerment Campaign | Voluntary or Charitable | 1404 Brooklyn Ave, Brooklyn, NY 11210 | 2020-06-26 |
| 1487296455 | Venture Kids Inc | Day Training, Developmentally Disabled Services | 1731 Flatbush Ave, Brooklyn, NY 11210 | 2019-10-11 |
| 1689131773 | Florence Nkiruka Okafor | Case Manager/Care Coordinator | 858 E 29th St., Brooklyn Ny 11210, Brooklyn, NY 11210 | 2019-02-25 |
| 1508339854 | Sharon Senior-anderson | Behavioral Analyst | 858 E. 29th St., Brooklyn, NY 11210 | 2019-01-09 |
| 1952874208 | Luz Liriano | Behavioral Analyst | 858 E. 29th Street, Brooklyn, Ny 11210, Brooklyn, NY 11210 | 2019-01-09 |
| 1073086492 | Sharon L Bradley | Behavioral Analyst | 853 E 29th St, Brooklyn, NY 11210 | 2019-01-08 |
| 1922571348 | Anderson J Ali | Counselor | 859 E 29th St, Brooklyn, NY 11210 | 2019-01-08 |
| 1720553266 | Live Life Rehab Services LLC | Occupational Therapist | 3101 Ave I, Apt 1c, Brooklyn, NY 11210 | 2018-10-11 |
| Find all providers in zip 11210 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215416805 | Alex Zusin | Dentist | 2540 Batchelder St Apt 5o, Brooklyn, NY 11235-1530 | 2018-08-14 |
| 1073030540 | Rebecca Goldman | Dentist | 1743 E 29th St, Brooklyn, NY 11229-2516 | 2017-08-25 |
| 1982095337 | Cinzia Dinoi | Dentist | 255 Eastern Pkwy Apt C9, Brooklyn, NY 11238-6365 | 2015-02-06 |
| 1295907913 | Brilliant Dental & Associates, PC | Dentist | 820 Flatbush Avenue, Brooklyn, NY 11226 | 2008-04-02 |
| 1265617237 | Georgia Kougentakis | Dentist | 2420 National Dr, Brooklyn, NY 11234-6836 | 2008-01-08 |
| 1194923763 | Jay Rubin | Dentist | 6010 New Utrecht Ave, Brooklyn, NY 11219-5041 | 2007-07-05 |
| 1487865572 | Valentina Pechevaya | Dentist | 270 Ave P Dr Valentina Peachway, Brooklyn, NY 11204 | 2007-05-24 |
| 1619180650 | Maxim Alexander Podolsky | Dentist | 2272 Hendrickson St, Brooklyn, NY 11234-5131 | 2007-05-07 |
| 1245359066 | Konstantinos G Pavlakos | Dentist | 416 Bay Ridge Pkwy, Brooklyn, NY 11209-2702 | 2007-03-29 |
| 1750423257 | Kenneth Marcus | Dentist | 1750 Ocean Parkway, Suite 1a, Brooklyn, NY 11223 | 2007-02-12 |
| Find all providers in BROOKLYN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.