Jeremy Lalak

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

063418 Issued in NY

Practice address

1600 Stewart Ave Ste 102
Westbury, NY 11590-6611

Phone

(166) 830-8885

NPI assigned

Jul 6, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Montrose Vamc

  • Department of Veterans Affairs (VA) Pharmacy
  • Wappingers Falls, NY
  • NPI 1225086325
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1657065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744329600000",
    "number": "1417680570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10156 123RD ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114192124",
            "telephone_number": "347-891-3622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 STEWART AVE STE 102",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115906611",
            "telephone_number": "166-830-8885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LALAK",
        "first_name": "JEREMY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-06",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "063418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabrielle Kayelyn Kurtz, M.S., OTR/L
• KV Medical of Ny PC
• Tiara Keshelle Lagrasta
• Brittany Lahti
• Jeffrey Patigas Lajera
• Elbaraa Lamada
• April Lambert
• Paul O Lampl, D.M.D.
• Gloria R Lane, DSW DOCTOR OF SOCIAL
• Joseph John Langone III

• General Practice Dentistry in Westbury, NY
• Providers in Westbury, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2025; 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.