LARISSA LAM
NPI 1346973393
Speech-Language Pathologist in Staten Island, NY

Active since July 07, 2022
101 WHITNEY AVE, STATEN ISLAND, NY 10305(718) 207-0632 Get Directions Write a Review

NPPES record last updated: June 23, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 23, 2025, Jul 7, 2022 (2 updates tracked since 2022).

About Larissa Lam NPPES

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

LARISSA LAM (NPI 1346973393) is an individual speech-language pathologist provider in Staten Island, New York, licensed in New York (035536) and active in the NPI registry since July 2022. She is a graduate of Pennsylvania State University College Of Medicine (2022).

NPPES Registry Identity

NPI1346973393
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameLARISSA LAM
Location Address101 WHITNEY AVEStaten Island, NY 10305-1568
Mailing Address5850 Granite PkwyPlano, TX 75024-6748
Sole ProprietorNo
Medical School CMSPennsylvania State University College Of MedicineGraduated 2022
Enumeration DateJuly 7, 2022
Last NPPES UpdateJune 23, 20252 updates tracked since enumeration
NPPES CertifiedJune 23, 2025
✔ NPI 1346973393 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
License✔ Licensed in NY · 035536
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.
101 WHITNEY 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)

Larissa Lam is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7416411574
PECOS Enrollment IDI20260710000015

Medicare Billing Reassignment

Medicare enrollment records show Larissa Lam reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rehabilitation
8746 20TH AVENUE, 2ND FLOOR
Brooklyn, NY 11214
  • Reassigned Medicare billing, New York enrollment
  • 8 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.

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 Larissa Lam's NPI number?

The NPI number for Larissa Lam is 1346973393. It was assigned to this individual provider in the NPPES registry on July 7, 2022.

Where is Larissa Lam located?

Larissa Lam practices at 101 Whitney Ave, Staten Island, NY 10305. The listed phone number is (718) 207-0632.

What is Larissa Lam's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Larissa Lam enrolled in Medicare?

Yes. Larissa Lam is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Larissa Lam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Larissa Lam reassigns Medicare benefits to Sensory Freeway Therapy Services Ot, Pt And Slp, PLLC (Brooklyn, 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 Larissa Lam'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 Larissa Lam was last updated on June 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.