Active NPI
Geraldine Fernando Simeon, DDS
- General Practice Dentistry
- Brooklyn, NY
National Provider Identifier
1225098122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 048399
- Practice address
- 114 Clinton St
Brooklyn, NY 11201-4260 - Phone
- (718) 624-7252
- NPI assigned
- Mar 24, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 048399 | NY | Primary |
Addresses
Primary practice location
114 Clinton St
Brooklyn, NY 11201-4260
Mailing address
114 Clinton St
Brooklyn, NY 11201-4237
Phone (718) 624-7252
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Feb 8, 2016 through Feb 8, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 048399 | NY | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1225098122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 CLINTON ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112014237",
"telephone_number": "718-624-7252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 CLINTON ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112014260",
"telephone_number": "718-624-7252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMEON",
"first_name": "GERALDINE",
"middle_name": "FERNANDO",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-24",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "048399",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.