IndividualActive
Channa Jayatilaka, DDS, PH.D
NPI 1063612810 · Dentist · Central Islip, NY
Channa Jayatilaka, DDS, PH.D is a Dentist provider in Central Islip, NY (NPI 1063612810).
Provider details
- NPI number
- 1063612810
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS, PH.D
- Sex
- Male
- Sole proprietor
- No
- License
- 048111 (NY)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
109 Carleton Ave
Central Islip, NY 11722-3616
Phone: (631) 348-2500
Street-level locationGet directions
Mailing address
3 Belwyn Ln
South Setauket, NY 11720-1408
Registry dates
- Enumerated
- 2007-07-19
- Last updated
- 2007-07-19
Frequently asked questions
- What is Channa Jayatilaka's NPI number?
- Channa Jayatilaka's National Provider Identifier (NPI) is 1063612810, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Channa Jayatilaka's specialty?
- Channa Jayatilaka is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Channa Jayatilaka located?
- Channa Jayatilaka's practice location on file with NPPES is 109 Carleton Ave, Central Islip, NY 11722-3616.
- What is Channa Jayatilaka's phone number?
- The practice phone number listed in the NPPES registry for Channa Jayatilaka is (631) 348-2500.
- Is Channa Jayatilaka's NPI active?
- Yes — Channa Jayatilaka's NPI (1063612810) is active in the NPPES registry as of the last update on 2007-07-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.