Joseph Anthony Simonetti, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

030265 Issued in NY

Practice address

1556 Islip Ave
Brentwood, NY 11717-6022

Phone

(631) 277-4848

NPI assigned

Apr 24, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003035502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1556 ISLIP AVE",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117176022",
            "telephone_number": "631-277-4848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1556 ISLIP AVE",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117176022",
            "telephone_number": "631-277-4848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMONETTI",
        "first_name": "JOSEPH",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "030265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gillian Shelby
• Dil Ara Siddika, MD,DO
• Bessie Sidoo, LPN
• Elizabeth Sill, N.P.
• Jennifer Enith Simmons, LMSW
• Scott Anthony Simonetti, D.D.S
• Shatevia Simpson Hickson
• Marion June Simpson-Sears, MA CCC LSP.
• Aja Leanna Sims, LPN
• Bernadette Singh

• General Practice Dentistry in Brentwood, NY
• Providers in Brentwood, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.