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LISA CROCCO
NPI 1255100772
Specialist in Port Jefferson Station, NY

Active since December 26, 2023
299 HALLOCK AVE, PORT JEFFERSON STATION, NY 11776(631) 473-4284 Get Directions Write a Review

NPPES record last updated: December 26, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Lisa Crocco NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA CROCCO (NPI 1255100772) is an individual specialist in Port Jefferson Station, New York and active in the NPI registry since December 2023.

NPPES Registry Identity

NPI1255100772
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameLISA CROCCO
Location Address299 HALLOCK AVEPort Jefferson Station, NY 11776-1217
Mailing Address51 Strong AveBabylon, NY 11702-1815 · (631) 258-9667
Phone(631) 473-4284
Sole ProprietorYes
Enumeration DateDecember 26, 2023
NPPES CertifiedDecember 22, 2023
✔ NPI 1255100772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
299 HALLOCK AVE, Port Jefferson Station, NY 11776
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Other Names 1

Former Name (1)Lisa Matranga

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TAMMY SAID
Speech-Language Pathologist
299 HALLOCK AVE
PORT JEFFERSON STATION, NY 11776
Suffolk County (516) 473-9942
JILLIAN PROSPECT
Specialist
299 HALLOCK AVE
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 473-4284
JOAN ELIZABETH NICOTRA
Specialist
299 HALLOCK AVE
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 473-4284
STEPHEN MATTHEW CIDONI
Behavior Technician
299 HALLOCK AVE
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 475-4284
REBEKAH GUASTELLA M.S., CF-SLP, TSSLD
Speech-Language Pathologist
299 HALLOCK AVE
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 473-4284
DIANA L SPAGNOLA CCC-SLP
Speech-Language Pathologist
299 HALLOCK AVE
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 473-4284
ASHLEY ELIZABETH VETTER
Student in an Organized Health Care Education/Training Program
299 HALLOCK AVE
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 473-4284
GINA MARIE RUBINO
Student in an Organized Health Care Education/Training Program
299 HALLOCK AVE
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 473-4284

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Crocco's NPI number?

The NPI number for Lisa Crocco is 1255100772. It was assigned to this individual provider in the NPPES registry on December 26, 2023. The provider is also known as Lisa Matranga.

Where is Lisa Crocco located?

Lisa Crocco practices at 299 Hallock Ave, Port Jefferson Station, NY 11776. The listed phone number is (631) 473-4284.

What is Lisa Crocco's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Lisa Crocco was last updated on December 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.