Individual provider Active NPI

Santosh Lillaney, DDS

  • General Practice Dentistry
  • Brooklyn, NY
National Provider Identifier
1508834649
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
039892 Issued in NY
Practice address
551 Crescent St
Brooklyn, NY 11208-3107
Phone
(718) 827-2311
Fax
(718) 348-9801
NPI assigned
Mar 14, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 039892 NY Primary

Addresses

Primary practice location

551 Crescent St
Brooklyn, NY 11208-3107

Mailing address

551 Crescent St
Brooklyn, NY 11208-3107
Phone (718) 827-2311

Other identifiers 1

IdentifierTypeStateIssuer
00954421MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150717002308 NY Order and Referring Only - DentistPractitioner - Dentist 6709199888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
039892NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1508834649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 CRESCENT ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112083107",
            "telephone_number": "718-827-2311",
            "fax_number": "718-348-9801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 CRESCENT ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112083107",
            "telephone_number": "718-827-2311",
            "fax_number": "718-348-9801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LILLANEY",
        "first_name": "SANTOSH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "039892",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00954421",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.