Individual provider Active NPI

Jessica Ann Verni, AU.D.

  • Audiologist
  • Nesconset, NY
National Provider Identifier
1053799528
Registry record updated Dec 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
01353 Issued in MD
Practice address
57 Southern Blvd Ste 4
Nesconset, NY 11767-1091
Phone
(631) 238-5785
Fax
(631) 238-5786
NPI assigned
May 15, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Assistive Technology Practitioner Audiologist 231HA2400X 01353 MD
Audiologist-Hearing Aid Fitter 237600000X 01353 MD
Audiologist 231H00000X 01353 MD Primary

Addresses

Primary practice location

57 Southern Blvd Ste 4
Nesconset, NY 11767-1091

Mailing address

57 Southern Blvd Ste 4
Nesconset, NY 11767-1091
Phone (631) 238-5785

Other identifiers 1

IdentifierTypeStateIssuer
1942325527MedicaidMD

Other names 1

  • Jessica Ann Levenson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210726002534 NY Practitioner - Qualified Audiologist 5991017998 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ear Works Audiology PCGroup PAC ID 7517854524, 15 clinicians

Practice addresses (Care Compare)

1100 Franklin Ave
Suite 300
Garden City, NY 11530-1601
Phone (516) 248-0068

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ear Works Audiology PC Audiologist CurrentSince Jul 3, 2021 Accepting new patients
Ear Works Audiology Audiologist Past Accepting new patients

Locations

400 W Main St
Ste 342
Babylon, NY 11702

4045 Hempstead Tpke
Ste 202
Bethpage, NY 11714
Phone (516) 396-1027

6080 Jericho Tpke
Ste 208
Commack, NY 11725
Phone (631) 486-9430

1100 Franklin Ave
Ste 300
Garden City, NY 11530
Phone (516) 248-0068

225 Community Dr
Ste 120
Great Neck, NY 11021
Phone (516) 466-0206

57 Southern Blvd
Ste 4
Nesconset, NY 11767
Phone (631) 238-5785

2 Ohio Dr
Ste 200
New Hyde Park, NY 11042
Phone (516) 563-7066

1500 Route 112
Bldg 6H
Port Jeff Sta, NY 11776

1500 Route 112
Bldg 6
Port Jefferson Station, NY 11776
Phone (631) 686-7890

485 Underhill Blvd
Ste 305
Syosset, NY 11791

5964 Route 25A
Wading River, NY 11792
Phone (631) 886-2770

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1431648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545955200000",
    "number": "1053799528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 SOUTHERN BLVD STE 4",
            "city": "NESCONSET",
            "state": "NY",
            "postal_code": "117671091",
            "telephone_number": "631-238-5785",
            "fax_number": "631-238-5785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 SOUTHERN BLVD STE 4",
            "city": "NESCONSET",
            "state": "NY",
            "postal_code": "117671091",
            "telephone_number": "631-238-5785",
            "fax_number": "631-238-5786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERNI",
        "first_name": "JESSICA",
        "middle_name": "ANN",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-15",
        "last_updated": "2018-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231HA2400X",
            "taxonomy_group": "",
            "desc": "Audiologist, Assistive Technology Practitioner",
            "state": "MD",
            "license": "01353",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "MD",
            "license": "01353",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MD",
            "license": "01353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1942325527",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "LEVENSON",
            "middle_name": "ANN",
            "credential": "AU.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Nesconset, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.