Active NPI
Simone Brookhim Kahen, DDS
- General Practice Dentistry
- Great Neck, NY
National Provider Identifier
1912266248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 041824
- Practice address
- 10 Cuttermill Rd
Suite 400
Great Neck, NY 11021-3258 - Phone
- (516) 603-8824
- NPI assigned
- May 7, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 | 041824 | NY | Primary |
Addresses
Primary practice location
10 Cuttermill Rd
Suite 400
Great Neck, NY 11021-3258
Mailing address
10 Cuttermill Rd
Suite 400
Great Neck, NY 11021-3258
Phone (516) 603-8824
Other names 1
- Dr. Simone Brookhim
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041824 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336348800000",
"number": "1912266248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 CUTTERMILL RD",
"address_2": "SUITE 400",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110213258",
"telephone_number": "516-603-8824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 CUTTERMILL RD",
"address_2": "SUITE 400",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110213258",
"telephone_number": "516-603-8824"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAHEN",
"first_name": "SIMONE",
"middle_name": "BROOKHIM",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-07",
"last_updated": "2012-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "041824",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SIMONE",
"last_name": "BROOKHIM",
"prefix": "DR.",
"credential": "DDS",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Great Neck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.