Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Madison Avenue Periodontics, PC

Organization Dentist · NPI 1275606865

Madison Avenue Periodontics, PC is a Dentist in NY, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
Specialties on file
3
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

501 Madison Ave 22nd Fl
NY, NY 10022
Phone: (212) 755-1144
Fax: (212) 371-9629
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 047299 (NY)
Dentist Taxonomy 122300000X · Licence 35077 (NY)
Dentist Taxonomy 122300000X · Licence 041733 (NY)

Record details

NPI number1275606865
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jenny Garcia-Rocha — Sr Credentialing Team Lead · (972) 869-3789
Other names Madison Avenue Periodontics; Matthew Neary Dds & John Lanzetta Dmd Pc; Matthew Neary Dds & John Lanzetta Dmd Pc
NPI enumeratedNovember 15, 2006
Last updated in NPPESSeptember 18, 2024
Certification dateSeptember 18, 2024
Mailing address501 Madison Ave, 22nd Floor, Ny, NY 10022

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