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JESSICA RAE EBERHART M.S. CCC-SLP
NPI 1649819392
Speech-Language Pathologist in Lake Ronkonkoma, NY

Active since December 29, 2019Accepts Medicare Assignment
622 HAWKINS AVE, LAKE RONKONKOMA, NY 11779(631) 240-3579 Get Directions Write a Review

NPPES record last updated: December 29, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jessica Rae Eberhart M.s. Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA RAE EBERHART M.S. CCC-SLP (NPI 1649819392) is an individual speech-language pathologist provider in Lake Ronkonkoma, New York and active in the NPI registry since December 2019. She is a graduate of Other (2018).

NPPES Registry Identity

NPI1649819392
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameJESSICA RAE EBERHARTCredential: M.S. CCC-SLP
Location Address622 HAWKINS AVELake Ronkonkoma, NY 11779-2374
Mailing Address115 Virginia AveLake Grove, NY 11755-2824
Phone(631) 240-3579
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateDecember 29, 2019
✔ NPI 1649819392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
622 HAWKINS AVE, Lake Ronkonkoma, NY 11779
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jessica Rae Eberhart M.s. Ccc-slp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5698115681
PECOS Enrollment IDI20240424001165

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PETER TAORMINO
Durable Medical Equipment & Medical Supplies
622 HAWKINS AVE, STE 8
LAKE RONKONKOMA, NY 11779
Suffolk County (631) 467-2813
ALEXIS SAPERSTEIN
Speech-Language Pathologist
622 HAWKINS AVE
RONKONKOMA, NY 11779
Suffolk County (631) 240-3579
BREANNE KATHLEEN LAPINSKI MS
Speech-Language Pathologist
622 HAWKINS AVE
RONKONKOMA, NY 11779
Suffolk County (631) 240-3579
DR. RICHARD LANCE WHALLEY OTD, OTR/L
Occupational Therapist
622 HAWKINS AVE
RONKONKOMA, NY 11779
Suffolk County (631) 240-3579
ANDREA E NOMBERG PHYSICIAN PC
Family Medicine
622 HAWKINS AVE
RONKONKOMA, NY 11779
Suffolk County (631) 583-3333
BRITTANY KISS PA-C, DAT
Physician Assistant
622 HAWKINS AVE
LAKE RONKONKOMA, NY 11779
Suffolk County (631) 583-3333
MS. STEPHANIE L MONTANO MS, CCC-SLP
Speech-Language Pathologist
622 HAWKINS AVE
RONKONKOMA, NY 11779
Suffolk County (631) 240-3579
MS. SARA DIANE TOLSON TSSLD
Speech-Language Pathologist
622 HAWKINS AVE
LAKE RONKONKOMA, NY 11779
Suffolk County (631) 240-3579

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Eberhart's NPI number?

The NPI number for Jessica Eberhart is 1649819392. It was assigned to this individual provider in the NPPES registry on December 29, 2019.

Where is Jessica Eberhart located?

Jessica Eberhart practices at 622 Hawkins Ave, Lake Ronkonkoma, NY 11779. The listed phone number is (631) 240-3579.

What is Jessica Eberhart's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Jessica Eberhart enrolled in Medicare?

Yes. Jessica Eberhart is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jessica Eberhart was last updated on December 29, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.