Active NPI
Brooklyn Dental Home PC
- General Practice Dentistry
- Jackson Heights, NY
National Provider Identifier
1205798030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- BROOKLYN DENTAL HOME PC
- Practice address
- 3755 82ND St FL 2
Jackson Heights, NY 11372-7031 - Phone
- (718) 703-7500
- NPI assigned
- Dec 1, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ariel Aminov
- Title
- Director
- Phone
- (516) 512-3164
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary | ||
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | |||
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X |
Addresses
Primary practice location
3755 82ND St FL 2
Jackson Heights, NY 11372-7031
Mailing address
2120 Ocean Ave
Brooklyn, NY 11229-1426
Phone (718) 645-1588
Other practice location 1
2120 Ocean Ave
Brooklyn, NY 11229-1426
Phone (718) 645-1588
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Brooklyn, NY
- NPI 1427123975
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1764547200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1764547200000",
"number": "1205798030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2120 OCEAN AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112291426",
"telephone_number": "718-645-1588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3755 82ND ST FL 2",
"city": "JACKSON HEIGHTS",
"state": "NY",
"postal_code": "113727031",
"telephone_number": "718-703-7500"
}
],
"practiceLocations": [
{
"address_1": "2120 Ocean Ave",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112291426",
"country_code": "US",
"telephone_number": "718-645-1588",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "BROOKLYN DENTAL HOME PC",
"organizational_subpart": "NO",
"enumeration_date": "2025-12-01",
"last_updated": "2025-12-01",
"certification_date": "2025-12-01",
"status": "A",
"authorized_official_last_name": "AMINOV",
"authorized_official_first_name": "ARIEL",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "516-512-3164"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
},
{
"code": "1223X0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": null,
"license": null,
"primary": false
},
{
"code": "204E00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Oral & Maxillofacial Surgery",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson Heights, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.