Active NPI
Larissa Lam
- Speech-Language Pathologist
- Staten Island, NY
National Provider Identifier
1346973393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 035536
- Practice address
- 101 Whitney Ave
Staten Island, NY 10305-1568 - Phone
- (718) 207-0632
- NPI assigned
- Jul 7, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 035536 | NY | Primary |
Addresses
Primary practice location
101 Whitney Ave
Staten Island, NY 10305-1568
Mailing address
5850 Granite Pkwy
Plano, TX 75024-6748
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Pennsylvania State University College of Medicine, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
101 Whitney Ave
Staten Island, NY 10305-1568
575 8TH Ave
New York, NY 10018-3033
815 Gravesend Neck Rd Apt
1B
Brooklyn, NY 11223-5566
8746 20TH Ave
L
Brooklyn, NY 11214-4802
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 035536 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750636800000",
"number": "1346973393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5850 GRANITE PKWY",
"city": "PLANO",
"state": "TX",
"postal_code": "750246748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 WHITNEY AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103051568",
"telephone_number": "718-207-0632"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAM",
"first_name": "LARISSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-07",
"last_updated": "2025-06-23",
"certification_date": "2025-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "035536",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.