Active NPI
Lilya Horowitz, DDS
- General Practice Dentistry
- Brooklyn, NY
National Provider Identifier
1245518349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 055563
- Practice address
- 121 S 4TH St
Brooklyn, NY 11249-5504 - Phone
- (347) 762-0454
- NPI assigned
- Jul 25, 2011
- Last updated
- Feb 2, 2021
- 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 | 055563 | NY | Primary |
Addresses
Primary practice location
121 S 4TH St
Brooklyn, NY 11249-5504
Mailing address
121 S 4TH St
Brooklyn, NY 11249-5504
Phone (347) 762-0454
Other practice location 1
572 5th Ave
5th Floor
New York, NY 10036-4805
Phone (212) 380-7299
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 |
|---|---|---|---|
| 055563 | NY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Domino Dental | Current | Accepting new patients |
Locations
121 S 4th St
Brooklyn, NY 11249
Phone (347) 762-0454
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dentist
- Brooklyn, NY
- NPI 1811587504
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612224000000",
"number": "1245518349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 S 4TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112495504",
"telephone_number": "347-762-0454",
"fax_number": "212-380-6991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 S 4TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112495504",
"telephone_number": "347-762-0454"
}
],
"practiceLocations": [
{
"address_1": "572 5th Ave",
"address_2": "5th Floor",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100364805",
"country_code": "US",
"telephone_number": "212-380-7299",
"fax_number": "212-380-6991",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOROWITZ",
"first_name": "LILYA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-25",
"last_updated": "2021-02-02",
"certification_date": "2021-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "055563",
"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 Feb 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.