Warren L Crescenzo, MA, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

YS 00101800 Issued in NJ

Practice address

1104 E Park Ave
Vineland, NJ 08360-3322

Phone

(856) 696-3043

NPI assigned

Jun 13, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288569600000",
    "number": "1073517413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 E PARK AVE",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083603322",
            "telephone_number": "856-696-3043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 E PARK AVE",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083603322",
            "telephone_number": "856-696-3043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRESCENZO",
        "first_name": "WARREN",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2010-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "YS 00101800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Helene Corvino, RPH
• Jessica Costello
• Angela Costin
• Courtney Cox, D.O.
• Nhadjah Crawford-Bell
• Elisabeth Crocilla
• Andrew Cross, MD
• Desrene Jascinth Cross
• Erika Charlene Cruz, APN
• Guillermo Cruz, CPRS

• Speech-Language Pathologist in Vineland, NJ
• Providers in Vineland, NJ by specialty
• Speech-Language Pathologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.