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MISS REGINA ANN PROVISIERO MA/CCC/SLP
NPI 1457596207
Speech-Language Pathologist in Port Jefferson, NY

Active since December 09, 2008
220 WINDWARD CT N, PORT JEFFERSON, NY 11777(631) 525-7514 Get Directions Write a Review

NPPES record last updated: December 9, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Miss Regina Ann Provisiero Ma/ccc/slp NPPES

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

MISS REGINA ANN PROVISIERO MA/CCC/SLP (NPI 1457596207) is an individual speech-language pathologist provider in Port Jefferson, New York, licensed in New York (58017705) and active in the NPI registry since December 2008. She is a graduate of Other (2014).

NPPES Registry Identity

NPI1457596207
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMISS REGINA ANN PROVISIEROCredential: MA/CCC/SLP
Location Address220 WINDWARD CT NPort Jefferson, NY 11777-2323
Mailing Address220 Windward Ct NPort Jefferson, NY 11777-2323 · (631) 525-7514
Phone(631) 525-7514
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateDecember 9, 2008
✔ NPI 1457596207 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 · 58017705
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.
220 WINDWARD CT N, Port Jefferson, NY 11777
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miss Regina Ann Provisiero Ma/ccc/slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID840660767
PECOS Enrollment IDI20230110001165

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 Regina Provisiero's NPI number?

The NPI number for Regina Provisiero is 1457596207. It was assigned to this individual provider in the NPPES registry on December 9, 2008.

Where is Regina Provisiero located?

Regina Provisiero practices at 220 Windward Ct N, Port Jefferson, NY 11777. The listed phone number is (631) 525-7514.

What is Regina Provisiero's specialty?

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

Is Regina Provisiero enrolled in Medicare?

Yes. Regina Provisiero is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Regina Provisiero was last updated on December 9, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.