Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Queens Periodontal Associates LLC

Organization Periodontics · NPI 1811130750

Queens Periodontal Associates LLC provides Periodontics in Rego Park, New York. Licensed in New York. Registered with an NPI since 2009.

Licensed in
NY
In the registry since
2009
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9354 Queens Blvd
Rego Park, NY 11374-1149 Not confirmed with CMS for 17 years — call before visiting
Phone: (718) 275-6262
Fax: (718) 275-6338
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 040050 (NY)

Record details

NPI number1811130750
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brian Chadroff — Owner · (718) 275-6262
NPI enumeratedApril 8, 2009
Last updated in NPPESApril 8, 2009
Mailing address9354 Queens Blvd, Rego Park, NY 11374-1149

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