Organization Active NPI

Brooklyn Dental Home PC

  • General Practice Dentistry
  • Jackson Heights, NY
National Provider Identifier
1205798030
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
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

Updated by the provider on Dec 1, 2025

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X
Oral & Maxillofacial Surgery (D.M.D.)Group: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.