DR. JULIE ANNE CONNOLLY DDS, MPH, MS
NPI 1447399613
Dentist - Periodontics in New York, NY
About Dr. Julie Anne Connolly Dds, Mph, Ms NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JULIE ANNE CONNOLLY DDS, MPH, MS (NPI 1447399613) is an individual periodontics provider in New York, New York, licensed in New York (050465-1) and active in the NPI registry since February 2007. She has opted out of Medicare through July 6, 2027 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Julie Anne Connolly Dds, Mph, Ms has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 6, 2015 through July 6, 2027.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10021 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEW YORK, NY 10021
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Julie Connolly's NPI number?
The NPI number for Julie Connolly is 1447399613. It was assigned to this individual provider in the NPPES registry on February 5, 2007.
Where is Julie Connolly located?
Julie Connolly practices at 654 Madison Ave Suite 1005, New York, NY 10021. The listed phone number is (212) 888-7477.
What is Julie Connolly's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.
Is Julie Connolly enrolled in Medicare?
No. Julie Connolly has opted out of Medicare through July 6, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for Julie Connolly was last updated on October 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Julie Anne Connolly, DDS, MPH, MS · NPI 1447399613
Periodontics provider in New York, New York. Individual provider, active in the CMS NPPES registry since February 5, 2007.
## Identity
- **NPI:** 1447399613 (Entity type: Individual)
- **Enumerated:** February 5, 2007
- **Primary specialty:** Dentist - Periodontics · taxonomy 1223P0300X
- **State license:** 050465-1 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 654 MADISON AVE, SUITE 1005, New York, NY 10021-8404
- **Phone:** (212) 888-7477 · **Fax:** (212) 758-8451
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through July 6, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** October 19, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1447399613) · Data from the CMS NPPES public registry.