Amanda Brijlall, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

061074 Issued in NY

Practice address

20 Westchester Ave
Port Chester, NY 10573-4325

Phone

(914) 481-3978

NPI assigned

Mar 21, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: abrijlall845799@nychhc.direct-ci.com

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.

• Brijlall Dental PLLC

  • Pediatric Dentistry
  • Port Chester, NY
  • NPI 1386475903
  NPD Authorized official

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

{
    "created_epoch": "1521590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713571200000",
    "number": "1689178873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 WESTCHESTER AVE",
            "city": "PORT CHESTER",
            "state": "NY",
            "postal_code": "105734325",
            "telephone_number": "914-481-3978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 WESTCHESTER AVE",
            "city": "PORT CHESTER",
            "state": "NY",
            "postal_code": "105734325",
            "telephone_number": "914-481-3978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIJLALL",
        "first_name": "AMANDA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-21",
        "last_updated": "2024-04-20",
        "certification_date": "2024-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "061074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luis A. Blanco, D.D.S.
• Kerry A Bochicchio, BSW
• Claire Marie Bolan, N.P.
• Julianna Bonanno
• Brijlall Dental PLLC
• Christina Brown, NP
• Patrick S Brunhoeber, MD
• Brittany Loretta Bunjaporte
• Leo Caamano, PA
• Jessica Michelle Cabrera-Guzhnay, LMHC

• Pediatric Dentistry in Port Chester, NY
• Providers in Port Chester, NY by specialty
• Pediatric Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2024; 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.

Verify at the official NPI Registry.