Nicole Sefershayan, AUD, CCC-A

Primary specialty

AudiologistTaxonomy code 231H00000X

License

002998 Issued in NY

Practice address

11 Ralph PL Ste 304
Staten Island, NY 10304-4416

Phone

(718) 980-0188

NPI assigned

Mar 10, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Audiology Services Company USA, LLC

  • Hearing and Speech Clinic/Center
  • Somerset, NJ
  • NPI 1033585302

  Audiologist

  Medicare reassignment NPD
• Audiology Services Company USA, LLC

  • Hearing and Speech Clinic/Center
  • Melbourne, FL
  • NPI 1902318108
  NPD

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

{
    "created_epoch": "1615334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1396320479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 RALPH PL STE 304",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103044416",
            "telephone_number": "718-980-0188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 RALPH PL STE 304",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103044416",
            "telephone_number": "718-980-0188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEFERSHAYAN",
        "first_name": "NICOLE",
        "credential": "AUD, CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-10",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "002998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Sedhom
• Rossana Sedita, M.A., CCC-SLP
• Miriam Sedrak, MD
• Harshasree Seelam, MD
• Carolyn Sefershayan, RN
• Alina Segal, P.T.
• Segev Optometry PLLC
• Aviela Segev
• Seguine Health Inc
• Olusola Segun

• Audiologist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Audiologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.