JASMINE A GHANEM DMD
NPI 1205459500
Dentist - Pediatric Dentistry in Brooklyn, NY

Active since May 20, 2020PECOS Enrolled
5800 3RD AVE, BROOKLYN, NY 11220(718) 630-0100 Get Directions Write a Review

NPPES record last updated: May 3, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 3, 2024, Jul 6, 2023, May 20, 2020 (3 updates tracked since 2020).

About Jasmine A Ghanem Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JASMINE A GHANEM DMD (NPI 1205459500) is an individual pediatric dentistry provider in Brooklyn, New York, licensed in New York (062281) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Staten Island.

NPPES Registry Identity

NPI1205459500
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameJASMINE A GHANEMCredential: DMD
Location Address5800 3RD AVEBrooklyn, NY 11220-3702
Mailing Address469 Jefferson AveStaten Island, NY 10306-5430 · (917) 497-4337
Sole ProprietorNo
Enumeration DateMay 20, 2020
Last NPPES UpdateMay 3, 20243 updates tracked since enumeration
NPPES CertifiedAugust 31, 2023
NPI 1205459500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in NY · 062281
Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

5800 3RD AVE, Brooklyn, NY 11220

Secondary Practice Location 1

Location 12076 Hylan BlvdStaten Island, NY 10306-3427 · Phone (347) 470-4503

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jasmine A Ghanem Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11220 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
5800 3RD AVE
BROOKLYN, NY 11220
Social Worker
5800 3RD AVE
BROOKLYN, NY 11220
Specialist
5800 3RD AVE
BROOKLYN, NY 11220
Dental Hygienist
5800 3RD AVE
BROOKLYN, NY 11220
Social Worker (Clinical)
5800 3RD AVE
BROOKLYN, NY 11220
Social Worker
5800 3RD AVE
BROOKLYN, NY 11220
Counselor
5800 3RD AVE
BROOKLYN, NY 11220
Community Health Worker
5800 3RD AVE, MANAGED CARE DEPARTMENT
BROOKLYN, NY 11220

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jasmine Ghanem's NPI number?

The NPI number for Jasmine Ghanem is 1205459500. It was assigned to this individual provider in the NPPES registry on May 20, 2020.

Where is Jasmine Ghanem located?

Jasmine Ghanem practices at 5800 3rd Ave, Brooklyn, NY 11220. The listed phone number is (718) 630-0100.

What is Jasmine Ghanem's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Jasmine Ghanem enrolled in Medicare?

Yes. Jasmine Ghanem is registered in the Medicare PECOS enrollment system.

What insurance does Jasmine Ghanem accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Jasmine Ghanem as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jasmine Ghanem was last updated on May 3, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.