CRYSTA SONG
NPI 1336773225
Speech-Language Pathologist in Staten Island, NY

Active since February 28, 2020
212 GARRETSON AVE, STATEN ISLAND, NY 10305(718) 980-5000 Get Directions Write a Review

NPPES record last updated: October 8, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 8, 2022, Apr 8, 2022, Feb 28, 2020 (3 updates tracked since 2020).

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

NPI1336773225
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameCRYSTA SONG
Location Address212 GARRETSON AVEStaten Island, NY 10305-1234
Mailing Address212 Garretson AveStaten Island, NY 10305-1234
Sole ProprietorNo
Enumeration DateFebruary 28, 2020
Last NPPES UpdateOctober 8, 20223 updates tracked since enumeration
NPPES CertifiedOctober 8, 2022
✔ NPI 1336773225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Licenses✔ Licensed in NY · 031286✔ Licensed in CA · 29098✔ Licensed in NJ · 41YS01132900
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
212 GARRETSON AVE, Staten Island, NY 10305

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.

Physical Therapist
1844 2ND AVE
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.

Therapy procedure for a range of mental processes, each additional 15 minutes 97130
This therapy procedure focuses on improving mental processes. Each additional 15-minute segment allows for a deeper understanding of your thoughts, feelings, and behaviors. The goal is to enhance your mental well-being and overall quality of life.
802 services27 patients
Treatment of swallowing and feeding disorder 92526
Treatment for swallowing and feeding disorders involves a team of specialists who will work together to improve your ability to eat and drink safely. This may include exercises to strengthen swallowing muscles, dietary changes, or special techniques to make swallowing easier.
554 services27 patients
Therapy procedure for a range of mental processes, initial 15 minutes 97129
This therapy session, lasting 15 minutes, focuses on improving your mental processes. It's an initial step towards understanding your mental health needs. The therapist will engage in conversation, listen to your concerns, and help identify areas for improvement.
385 services27 patients
Treatment of speech, language, voice, communication, and/or hearing processing disorder 92507
This treatment involves working with a specialist to improve communication skills. It could involve exercises to enhance speech clarity, language understanding, voice volume, or hearing comprehension. The goal is to enhance your ability to express and understand others effectively.
336 services21 patients
Evaluation of swallowing function 92610
Evaluation of swallowing function is a medical procedure that assesses your ability to swallow food and drink safely. This involves studying the muscles and nerves involved in swallowing. It helps identify any issues that might lead to difficulties in eating or drinking.
22 services22 patients
Evaluation of speech sound production with evaluation of language comprehension and expression 92523
This service involves assessing your ability to produce speech sounds and understand language. It also evaluates your ability to express yourself through language. It's a comprehensive review of your communication skills to identify any potential issues.
21 services21 patients

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.

Specialist
212 GARRETSON AVE
STATEN ISLAND, NY 10305
Psychiatry & Neurology (Neurology)
212 GARRETSON AVE
STATEN ISLAND, NY 10305

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.