Active NPI
Gennady Simonovsky DDS PC
- Dental Clinic/Center
- Brooklyn, NY
National Provider Identifier
1760399299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- GENNADY SIMONOVSKY DDS PC
- Practice address
- 1203 Avenue J Ste 4a
Brooklyn, NY 11230-3670 - Phone
- (718) 513-3520
- NPI assigned
- Aug 27, 2026
- Last updated
- Aug 27, 2026
- 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
- Dr. Gennadiy Simonovskiy, DDS
- Title
- Dentist
- Phone
- (718) 513-3520
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
1203 Avenue J Ste 4a
Brooklyn, NY 11230-3670
Mailing address
1203 Avenue J Ste 4a
Brooklyn, NY 11230-3670
Phone (718) 513-3520
National Provider Directory
National Provider DirectoryLocations
1203 Avenue J
Ste 4A
Brooklyn, NY 11230
Phone (718) 513-3520
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Dentist
- Brooklyn, NY
- NPI 1992842678
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787788800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787788800000",
"number": "1760399299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1203 AVENUE J STE 4A",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112303670",
"telephone_number": "718-513-3520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1203 AVENUE J STE 4A",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112303670",
"telephone_number": "718-513-3520"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENNADY SIMONOVSKY DDS PC",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-27",
"last_updated": "2026-08-27",
"certification_date": "2026-08-27",
"status": "A",
"authorized_official_last_name": "SIMONOVSKIY",
"authorized_official_first_name": "GENNADIY",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "718-513-3520",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"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 Aug 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.