Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1023687472 Individual Practitioner Male Practitioner

Dr. Jonathan Elliott Lewis , DDS

Dentist • Breezy Point, NY

Professional Overview & Biography Verified Profile Summary

Dr. Jonathan Lewis, DDS is a registered healthcare professional specializing in Dentist in Breezy Point, NY. Practice services are available at 20408 ROCKAWAY POINT BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

20408 Rockaway Point Blvd

Breezy Point, NY 116971115

Telephone 7184746500
Associated Practice Facility / Clinic
🏢 Life Quality P.t P.c Facility NPI 1073889010

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Breezy Point, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 24.5 Yrs
Regional Practice Density
1 Specialists

Practicing in Breezy Point, NY (6355 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-09-30
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License NY 063288

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Dentist

NUCC Taxonomy Code: 122300000X

State License PA DS043203

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Secondary Practice Locations

1315 Broadway Unit A

Hewlett, NY 115572165

Phone: 5162396204

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. William Burke , DDS

Dentist - General Practice

NPI 1790974640

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

17 Historical Events
📍
Updated Business Mailing Address September 30, 2024

Registered at 20408 ROCKAWAY POINT BLVD, BREEZY POINT, NY 116971115

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 30, 2024

Dentist (License #DS043203 in PA)

📍
Updated Practice Location February 02, 2024

Registered at 20408 ROCKAWAY POINT BLVD, BREEZY POINT, NY 116971115 (Tel: 7184746500)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 02, 2024

Dentist (License #063288 in NY)

📍
Updated Practice Location October 28, 2023

Registered at 71 LINCOLN AVE, ROCKVILLE CENTRE, NY 115705732 (Tel: 5167647222)

📍
Updated Business Mailing Address October 28, 2023

Registered at 71 LINCOLN AVE, ROCKVILLE CENTRE, NY 115705732

📍
Updated Practice Location September 15, 2023

Registered at 790 PENLLYN BLUE BELL PIKE STE 103, BLUE BELL, PA 194221657 (Tel: 2674394912)

📍
Updated Practice Location July 07, 2022

Registered at 2455 GRANT AVE, PHILADELPHIA, PA 191141004 (Tel: 2673675015)

📍
Updated Business Mailing Address July 07, 2022

Registered at 2455 GRANT AVE, PHILADELPHIA, PA 191141004

📍
Updated Practice Location August 26, 2021

Registered at 722 MARKET ST FL 1, PHILADELPHIA, PA 191062312 (Tel: 2673675012)

📍
Updated Business Mailing Address August 26, 2021

Registered at 722 MARKET ST FL 1, PHILADELPHIA, PA 191062312 (Tel: 2673675012)

NPI Profile Active June 22, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location June 22, 2021

Registered at 1000 EASTON RD STE 465, WYNCOTE, PA 190952900 (Tel: 2673675014)

📍
Updated Business Mailing Address June 22, 2021

Registered at 1355 KNOX DR, YARDLEY, PA 190674440 (Tel: 2673930099)

👤
Provider Name / Credentials Updated June 22, 2021

Recorded as JONATHAN LEWIS, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 22, 2021

Dentist (License #DS043203 in PA)

🟢
Initial NPI Registration & Enumeration June 21, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1023687472
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 21, 2021
Last Update: September 30, 2024
Sole Proprietor: No

Mailing Address

20408 Rockaway Point Blvd

Breezy Point, NY 116971115

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.