Individual provider Active NPI

Marisa Viets, AUD

  • Audiologist
  • New York, NY
National Provider Identifier
1548798416
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
002596 Issued in NY
Practice address
1421 3Rd Ave Apt 4
New York, NY 10028-1933
Phone
(212) 792-3900
NPI assigned
May 23, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 41YA00092300 NJ
Audiologist 231H00000X 002596 NY Primary

Addresses

Primary practice location

1421 3Rd Ave Apt 4
New York, NY 10028-1933

Mailing address

250 W 99TH St Apt 3B
New York, NY 10025-5442
Phone (516) 640-7468

Other practice location 1

210 E 64th St
New York, NY 10065-7471
Phone (212) 605-3785

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180214000129 NY Practitioner - Qualified Audiologist 5092075929 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

550 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
41YA00092300NJMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Apr 8, 2019 Accepting new patients
Queens Audiology, PLLC Audiologist CurrentSince Dec 6, 2017 Accepting new patients
New York University CurrentSince Apr 8, 2019 Accepting new patients
Queens Audiology, PLLC Audiologist Past Accepting new patients

Locations

3016 30th Dr
Long Island City, NY 11102
Phone (718) 728-3376

1421 3rd Ave
Apt 4
New York, NY 10028
Phone (212) 452-1500

210 E 64th St
Fl 3
New York, NY 10065
Phone (212) 434-4050

530 1st Ave
Ste 7Q
New York, NY 10016
Phone (212) 263-5565

240 E 38th St
New York, NY 10016
Phone (212) 263-6033

1421 3rd Ave
New York, NY 10028
Phone (212) 744-5538

210 E 64th St
New York, NY 10065
Phone (212) 434-4312

550 1st Ave
New York, NY 10016
Phone (212) 263-3293

15012 14th Ave
Ste 200
Whitestone, NY 11357
Phone (718) 279-4327

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Organizations & group practices 4

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": "1495497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1548798416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 W 99TH ST APT 3B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100255442",
            "telephone_number": "516-640-7468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 3RD AVE APT 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100281933",
            "telephone_number": "212-792-3900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 E 64th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100657471",
            "country_code": "US",
            "telephone_number": "212-605-3785",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VIETS",
        "first_name": "MARISA",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-23",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NJ",
            "license": "41YA00092300",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "002596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.