Individual provider Active NPI

Lilya Horowitz, DDS

  • General Practice Dentistry
  • Brooklyn, NY
National Provider Identifier
1245518349
Registry record updated Feb 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
055563 Issued in NY
Practice address
121 S 4TH St
Brooklyn, NY 11249-5504
Phone
(347) 762-0454
NPI assigned
Jul 25, 2011
Last updated
Feb 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
055563NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Domino Dental CurrentSince Feb 7, 2021 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.

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.

Verify at the official NPI Registry.