Active NPI
Bernadette Marie Lora, SLP
- Speech-Language Pathologist
- Bay Shore, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 032881
- Practice address
- 105 Greenwood Rd
Bay Shore, NY 11706-5023 - Phone
- (917) 969-7681
- NPI assigned
- Jun 7, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 032881 | NY | Primary |
Addresses
Primary practice location
105 Greenwood Rd
Bay Shore, NY 11706-5023
Mailing address
42 Princess Ave Bay Shore
Bay Shore, NY 11706-1618
Phone (191) 796-9768
Other names 1
- Bernadette Marie Miller
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Andrea E Nomberg Physician PC | Current | Accepting new patients | |
| Theralympic Speech Therapy PLLC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
400 S Oyster Bay Rd
Ste 102
Hicksville, NY 11801
Phone (516) 595-7550
2330 Union Blvd
Islip, NY 11751
Phone (631) 224-4200
622 Hawkins Ave
Ronkonkoma, NY 11779
Phone (631) 240-3579
624 Hawkins Ave
Ronkonkoma, NY 11779
Phone (631) 240-3579
Organizations & group practices 2
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.
-
- Early Intervention Provider Agency
- Ronkonkoma, NY
- NPI 1730665043
Speech-Language Pathologist
-
- Family Medicine Physician
- Ronkonkoma, NY
- NPI 1295394120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726531200000",
"number": "1285201541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42 PRINCESS AVE BAY SHORE",
"city": "BAY SHORE",
"state": "NY",
"postal_code": "117061618",
"telephone_number": "191-796-9768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 GREENWOOD RD",
"city": "BAY SHORE",
"state": "NY",
"postal_code": "117065023",
"telephone_number": "917-969-7681"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LORA",
"first_name": "BERNADETTE",
"middle_name": "MARIE",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-07",
"last_updated": "2024-09-17",
"certification_date": "2024-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "032881",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BERNADETTE",
"last_name": "MILLER",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bay Shore, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.