Crystal Migliorisi, CCC-SLP, TSSLD

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

018989-1 Issued in NY

Practice address

135 Penn Ave
Staten Island, NY 10306-4221

Phone

(646) 641-1794

NPI assigned

Apr 10, 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

Other names 1

• Crystal Guerra Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• United Cerebral Palsy Assoc of Nys Inc.

  • Clinic/Center
  • Brooklyn, NY
  • NPI 1285799684
  NPD (past)

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

{
    "created_epoch": "1239321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597104000000",
    "number": "1689817355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 PENN AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103064221",
            "telephone_number": "646-641-1794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 PENN AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103064221",
            "telephone_number": "646-641-1794"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2324 Forest Ave",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103031506",
            "country_code": "US",
            "telephone_number": "718-853-3018 x218",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIGLIORISI",
        "first_name": "CRYSTAL",
        "name_prefix": "Ms.",
        "credential": "CCC-SLP, TSSLD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-10",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "018989-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRYSTAL",
            "last_name": "GUERRA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Maryna Mieshkova
• Miga Optical Inc
• Mighty Milestones
• Donna Migliaccio
• Michael Migliorini
• Brian Mignola, MD
• James Peter Mignone, LMSW
• Miguel a Tirado MD PLLC
• Miguel a. Tirado, MD PLLC
• Miguel Coba MD, P.C.

• 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 Aug 11, 2020; 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.