Individual provider Active NPI

Victoria Anna Zysk, AUD

  • Audiologist
  • Waterbury, CT
National Provider Identifier
1609609460
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
000782 Issued in CT
Practice address
22 Tompkins St Ste 1
Waterbury, CT 06708-1496
Phone
(203) 754-5141
Fax
(203) 236-0181
NPI assigned
Aug 26, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 000782 CT
Audiologist 231H00000X 000782 CT Primary

Addresses

Primary practice location

22 Tompkins St Ste 1
Waterbury, CT 06708-1496

Mailing address

291 Culver St
Newington, CT 06111-5114
Phone (860) 712-3986

Other practice location 1

690 Main St S Ste 4
Southbury, CT 06488-2387
Phone (203) 262-1851

Other practice location 2

158 State St
Meriden, CT 06450-3202
Phone (203) 237-5342

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240911003442 CT Practitioner - Qualified Audiologist 6507306933 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

22 Tompkins St
Waterbury, CT 06708-1459
Phone (203) 754-5141

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000782CTMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Easter Seal Rehabilitation Center Audiologist-Hearing Aid Fitter CurrentSince Aug 28, 2024 Accepting new patients
Easter Seal Rehabilitation Center CurrentSince Aug 28, 2024 Accepting new patients
Easter Seal Rehabilitation Center Past Accepting new patients

Locations

158 State St
Meriden, CT 06450
Phone (203) 237-1448

690 Main St S
Ste 4
Southbury, CT 06488
Phone (203) 262-1851

22 Tompkins St
Ste 1
Waterbury, CT 06708
Phone (203) 754-5141

22 Tompkins St
Waterbury, CT 06708
Phone (203) 419-0381

Organizations & group practices 3

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": "1724630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1609609460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 CULVER ST",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061115114",
            "telephone_number": "860-712-3986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 TOMPKINS ST STE 1",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067081496",
            "telephone_number": "203-754-5141",
            "fax_number": "203-236-0181"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "690 Main St S Ste 4",
            "address_purpose": "LOCATION",
            "city": "Southbury",
            "state": "CT",
            "postal_code": "064882387",
            "country_code": "US",
            "telephone_number": "203-262-1851",
            "fax_number": "203-236-0181",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "158 State St",
            "address_purpose": "LOCATION",
            "city": "Meriden",
            "state": "CT",
            "postal_code": "064503202",
            "country_code": "US",
            "telephone_number": "203-237-5342",
            "fax_number": "203-236-0181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZYSK",
        "first_name": "VICTORIA",
        "middle_name": "ANNA",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-26",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "CT",
            "license": "000782",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CT",
            "license": "000782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.