Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Michael John Niesi, MA, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1114161296

Mr. Michael John Niesi, MA, CCC-SLP is a Qualified Speech Language Pathologist in Staten Island, New York. Qualified in 1994, 32 years ago. Practices as a sole proprietor. Licensed in New York.

Years since qualifying
32
Licensed in
NY
In the registry since
2009
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

49 Waimer Pl
Staten Island, NY 10312-4133
Phone: (347) 838-6849
Fax: (347) 838-6849
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 012117 (NY)

Record details

NPI number1114161296
Entity typeIndividual (Type 1)
GenderMale
Credentials MA , CCC-SLP
Sole proprietorYes
NPI enumeratedApril 21, 2009
Last updated in NPPESSeptember 8, 2011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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