Active NPI
Feliciano A Espaillat, DDS
- Oral & Maxillofacial Surgery (D.M.D.)
- Corona, NY
National Provider Identifier
1659547701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)
- License
- 048323
- Practice address
- 3545 Junction Blvd
Corona, NY 11368-1742 - Phone
- (718) 544-8000
- Fax
- (718) 466-0782
- NPI assigned
- May 7, 2008
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | 048323 | NY | Primary |
Addresses
Primary practice location
3545 Junction Blvd
Corona, NY 11368-1742
Mailing address
109 E 167TH St
Bronx, NY 10452-8204
Phone (718) 294-3725
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: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220722002075 | NY | Practitioner - Oral Surgery | 8921489857 | Reassigns benefits to 5 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 048323 | NY | MD | Oral & Maxillofacial Surgery (D.M.D.) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 3545 Johnson Blvd Dental PC | Current | Accepting new patients | |
| 43 Chruch Street Dental PC | Current | Accepting new patients | |
| Bonita Sonrisa Dental Mso | Current | Accepting new patients | |
| Alejandro Williams Dental Office PC | Current | Accepting new patients | |
| Bonita Sonrisa Dental Ipa | Current | Accepting new patients |
Locations
109 E 167th St
Bronx, NY 10452
Phone (516) 356-6381
1624 Dr Martin L King Jr Blvd
Bronx, NY 10453
Phone (845) 793-4469
759 4th Ave
Brooklyn, NY 11232
Phone (718) 832-1194
1810 Harriet St
Elmont, NY 11003
Phone (516) 354-3371
736 W 181st St
Apt 1I
New York, NY 10033
Phone (347) 681-1800
Organizations & group practices 6
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.
-
- Public Health Dentistry
- Bronx, NY
- NPI 1700343233
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766102400000",
"number": "1659547701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 E 167TH ST",
"city": "BRONX",
"state": "NY",
"postal_code": "104528204",
"telephone_number": "718-294-3725",
"fax_number": "718-466-0782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3545 JUNCTION BLVD",
"city": "CORONA",
"state": "NY",
"postal_code": "113681742",
"telephone_number": "718-544-8000",
"fax_number": "718-466-0782"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESPAILLAT",
"first_name": "FELICIANO",
"middle_name": "A",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-07",
"last_updated": "2025-12-19",
"certification_date": "2025-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "204E00000X",
"taxonomy_group": "",
"desc": "Oral & Maxillofacial Surgery",
"state": "NY",
"license": "048323",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corona, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.