MEDICARE: NAOMI REVA LEWIS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	010652	NY

General Provider Information

NPI Number	:	1831063320
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NAOMI REVA LEWIS

Provider Business Mailing Address
First Line	:	99 W HAWTHORNE AVE STE 210
Second Line	:
City	:	VALLEY STREAM
State	:	NY
Zip	:	11580-6126
Country	:	US
Telephone Number	:	718-305-1190
Fax Number	:

Provider Business Practice Location Address
First Line	:	99 W HAWTHORNE AVE STE 210
Second Line	:
City	:	VALLEY STREAM
State	:	NY
Zip	:	11580-6126
Country	:	US
Telephone Number	:	718-305-1190
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/30/2025
Last Update Date	:	12/15/2025

Similar Medicare Providers

1578146528 — IWONA MEDINA
Practice Location Address:

99 W HAWTHORNE AVE STE 210
VALLEY STREAM, NY
11580-6126

Practice Phone: 718-793-3200
Practice Fax:

1053157891 — MARIE PENELOPE CARRE
Practice Location Address:

99 W HAWTHORNE AVE STE 210
VALLEY STREAM, NY
11580-6126

Practice Phone: 718-305-1190
Practice Fax:

1225073588 — VALLEY ASSOCIATED UROLOGY MEDICARE GROUP INC
Practice Location Address:

200 COTTAGE AVE , STE 101
MANTECA, CA
95336-4935

Practice Phone: 209-239-2197
Practice Fax: 209-239-7672

1063508703 — SHARON KIMBALL RNNP
Practice Location Address:

536 IVY ST
GRASS VALLEY, CA
95945-6126

Practice Phone: 415-206-5638
Practice Fax: 415-206-4562

1083053854 — BREAKTHROUGH RECOVERY GROUP, INC.
Practice Location Address:

11711 E SPRAGUE AVE , SUITE D4
SPOKANE VALLEY, WA
99206-6126

Practice Phone: 509-927-6838
Practice Fax: 509-927-6845

1508210873 — JULIE DENIS LPN
Practice Location Address:

785 E COWBOY COVE TRL
SAN TAN VALLEY, AZ
85143-6126

Practice Phone: 480-749-7679
Practice Fax:

Directions to “ NAOMI REVA LEWIS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.