AJA SISCO M.S., CCC-SLP
NPI 1679714760
Speech-Language Pathologist in Stuyvesant Falls, NY
About Aja Sisco M.s., Ccc-slp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AJA SISCO M.S., CCC-SLP (NPI 1679714760) is an individual speech-language pathologist provider in Stuyvesant Falls, New York, licensed in New York (018261) and active in the NPI registry since March 2009.
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)
Aja Sisco M.s., Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Aja Sisco reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Jamesville, NY 13078
- Reassigned Medicare billing, New York enrollment
- 11 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 Aja Sisco's NPI number?
The NPI number for Aja Sisco is 1679714760. It was assigned to this individual provider in the NPPES registry on March 18, 2009.
Where is Aja Sisco located?
Aja Sisco practices at 65 Rybka Rd, Stuyvesant Falls, NY 12174. The listed phone number is (845) 417-4393.
What is Aja Sisco's specialty?
The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.
Is Aja Sisco enrolled in Medicare?
Yes. Aja Sisco is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Aja Sisco's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Aja Sisco reassigns Medicare benefits to Select Pt, Ot & Slp Rehabilitation Ny PLLC (Jamesville, 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 Aja Sisco'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 Aja Sisco was last updated on October 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Aja Sisco, M.S., CCC-SLP · NPI 1679714760
Speech-Language Pathologist provider in Stuyvesant Falls, New York. Individual provider, active in the CMS NPPES registry since March 18, 2009.
## Identity
- **NPI:** 1679714760 (Entity type: Individual)
- **Enumerated:** March 18, 2009
- **Primary specialty:** Speech-Language Pathologist · taxonomy 235Z00000X
- **State license:** 018261 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 65 RYBKA RD, Stuyvesant Falls, NY 12174-7708
- **Phone:** (845) 417-4393
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Select Pt, Ot & Slp Rehabilitation Ny PLLC (NPI 1457026353, Jamesville, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 21, 2016
---
Source: [NPI Profile](https://npiprofile.com/npi/1679714760) · Data from the CMS NPPES public registry.