Individual provider Active NPI

Julie M. Lewis

  • Speech-Language Pathologist
  • Lake Ronkonkoma, NY
National Provider Identifier
1497461966
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
034551 Issued in NY
Practice address
51 School St
Lake Ronkonkoma, NY 11779-2231
Phone
(631) 471-0354
NPI assigned
Jan 27, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 034551 NY Primary

Addresses

Primary practice location

51 School St
Lake Ronkonkoma, NY 11779-2231

Mailing address

3 Revere Ave
Bethpage, NY 11714-3115
Phone (516) 348-4384

Other practice location 1

1554 Northern Blvd
Manhasset, NY 11030-3053
Phone (516) 719-3700

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://login.frontlineeducation.com/login?signin=8515297bac313df56930a5257f3d786c&productId=IepLegacy&clientId=StudentSolutions#/login Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250304002954 NY Practitioner - Qualified Speech Language Pathologist 1759802952 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
034551NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Sports Physical Therapy Occupational Therapy and Rehabilitation Servic CurrentSince Feb 1, 2025 Accepting new patients
Sports Physical Therapy Occupational Therapy and Rehabilitation Servic CurrentSince Feb 1, 2025 Accepting new patients

Locations

145 Community Dr
Great Neck, NY 11021
Phone (516) 465-8260

972 Brush Hollow Rd
Westbury, NY 11590

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.

NPI Registry JSON

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

{
    "created_epoch": "1674777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1497461966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 REVERE AVE",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117143115",
            "telephone_number": "516-348-4384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 SCHOOL ST",
            "city": "LAKE RONKONKOMA",
            "state": "NY",
            "postal_code": "117792231",
            "telephone_number": "631-471-0354"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1554 Northern Blvd",
            "address_purpose": "LOCATION",
            "city": "Manhasset",
            "state": "NY",
            "postal_code": "110303053",
            "country_code": "US",
            "telephone_number": "516-719-3700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "JULIE",
        "middle_name": "M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-27",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "034551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://login.frontlineeducation.com/login?signin=8515297bac313df56930a5257f3d786c&productId=IepLegacy&clientId=StudentSolutions#/login",
            "affiliation": "N",
            "endpointDescription": "Frontline Special Education Management Software",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "IEP goals, 504 plans, RTI, Accomodations",
            "address_1": "1260 Meadowbrook Rd",
            "city": "Merrick",
            "state": "NY",
            "country_code": "US",
            "postal_code": "115661542",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lake Ronkonkoma, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; 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.

Verify at the official NPI Registry.