CRYSTA SONG
NPI 1336773225
Speech-Language Pathologist in Staten Island, NY
About Crysta Song NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CRYSTA SONG (NPI 1336773225) is an individual speech-language pathologist provider in Staten Island, New York, licensed in New York (031286) and active in the NPI registry since February 2020.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Crysta Song is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Crysta Song reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
New York, NY 10128
- Reassigned Medicare billing, New York enrollment
- 564 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 6
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Crysta Song's NPI number?
The NPI number for Crysta Song is 1336773225. It was assigned to this individual provider in the NPPES registry on February 28, 2020.
Where is Crysta Song located?
Crysta Song practices at 212 Garretson Ave, Staten Island, NY 10305. The listed phone number is (718) 980-5000.
What is Crysta Song's specialty?
The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.
Is Crysta Song enrolled in Medicare?
Yes. Crysta Song is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Crysta Song's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Crysta Song reassigns Medicare benefits to Fox Rehabilitation Physical Therapy Services LLC (New York, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Crysta Song's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Crysta Song was last updated on October 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.