Lisa Quinones, MS CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

016096-1 Issued in NY

Practice address

1535 Richmond Ave
3Rd Floor
Staten Island, NY 10314-1520

Phone

(917) 575-6174

NPI assigned

Jun 22, 2009

Sex

Female

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)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1245628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245628800000",
    "number": "1649408204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 WEST ST",
            "address_2": "APT 23H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100062920",
            "telephone_number": "917-575-6174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 RICHMOND AVE",
            "address_2": "3RD FLOOR",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103141520",
            "telephone_number": "917-575-6174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINONES",
        "first_name": "LISA",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-22",
        "last_updated": "2009-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "016096-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Lester Villareal Quilon, MD
• Antonella Quinci
• Edward Francis Quinn, RN
• Kerri Quinn
• Edward J Quinnan, PH.D.
• Peter Nicholas Quintanilla, RN
• Juana Quintero, MHC, LP, MA
• Aneisa Quinto, M.S., CCC-SLP, TSSLD
• Danielle Quinto, MS, OTR/L
• Jamie C Quinzi

• Speech-Language Pathologist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2009; 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.