Individual provider Active NPI

Lillian Alexandra Ackermann, MA, CCC-SLP

  • Speech-Language Pathologist
  • Seaford, NY
National Provider Identifier
1649997503
Registry record updated Oct 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
028330 Issued in NY
Practice address
3559 Merrick Rd
Seaford, NY 11783-2833
Phone
(516) 639-4021
NPI assigned
Oct 21, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2022

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 028330 NY Primary

Addresses

Primary practice location

3559 Merrick Rd
Seaford, NY 11783-2833

Mailing address

2 Deeringwood LN
Babylon, NY 11702-4213
Phone (631) 374-4326

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230110001138 NY Practitioner - Qualified Speech Language Pathologist 6002286937 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

1300 Franklin Ave
Suite Ul3Aandb
Garden City, NY 11530-1886
Phone (516) 747-8900

77 Medford Ave
Patchogue, NY 11772-1281
Phone (631) 758-1910

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Jan 3, 2023 Accepting new patients
OT Sensory Stars, PLLC Speech-Language Pathologist CurrentSince Sep 8, 2025 Accepting new patients
New York University CurrentSince Jan 3, 2023 Accepting new patients
Metro Physical Occupational Speech Massage Therapy & Acupuncture PLLC Speech-Language Pathologist CurrentSince Aug 24, 2024 Accepting new patients

Locations

6112 Jericho Tpke
Commack, NY 11725
Phone (631) 486-6060

1300 Franklin Ave
Ste ML6
Garden City, NY 11530
Phone (516) 353-1900

800 E Gate Blvd
Garden City, NY 11530

50 Glen Cove Rd
Greenvale, NY 11548
Phone (516) 200-3545

13303 Jamaica Ave
#13292
Richmond Hill, NY 11418
Phone (718) 291-3276

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

11701 84th Ave
Richmond Hill, NY 11418
Phone (718) 441-0300

3559 Merrick Rd
Seaford, NY 11783
Phone (516) 639-4021

715 Sunrise Hwy
West Babylon, NY 11704
Phone (516) 475-2614

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Organizations & group practices 4

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": "1666310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666310400000",
    "number": "1649997503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 DEERINGWOOD LN",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117024213",
            "telephone_number": "631-374-4326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3559 MERRICK RD",
            "city": "SEAFORD",
            "state": "NY",
            "postal_code": "117832833",
            "telephone_number": "516-639-4021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACKERMANN",
        "first_name": "LILLIAN",
        "middle_name": "ALEXANDRA",
        "name_prefix": "Mrs.",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-21",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "028330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seaford, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.