Individual provider Active NPI

Nicole Viscovich, AU.D

  • Audiologist
  • Bayside, NY
National Provider Identifier
1679252878
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
003189 Issued in NY
Practice address
4205 Francis Lewis Blvd
Bayside, NY 11361-2573
Phone
(718) 460-3100
NPI assigned
Jul 14, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 003189 NY Primary

Addresses

Primary practice location

4205 Francis Lewis Blvd
Bayside, NY 11361-2573

Mailing address

580 Howard Ave
Somerset, NJ 08873-1113

Other names 1

  • Nicole Talamo Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231117002220 NY Practitioner - Qualified Audiologist 9931557626 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003189NYMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Audiology Services Company USA, LLC CurrentSince Oct 30, 2023 Accepting new patients
Audiology Services Company USA, LLC Audiologist CurrentSince Oct 30, 2023 Accepting new patients

Locations

2501 Cottontail Ln
Somerset, NJ 08873
Phone (732) 529-7120

580 Howard Ave
Somerset, NJ 08873
Phone (888) 277-8014

1182 Willis Ave
Albertson, NY 11507
Phone (516) 265-1422

4205 Francis Lewis Blvd
#2
Bayside, NY 11361
Phone (718) 460-3100

1010 Northern Blvd
Ste 318
Great Neck, NY 11021
Phone (888) 214-0705

240 W Seneca St
Ste 3
Manlius, NY 13104
Phone (315) 682-2025

515 Madison Ave
Rm 2302
New York, NY 10022
Phone (212) 421-0889

176 N Village Ave
Ste 1C
Rockville Ctr, NY 11570
Phone (516) 594-1068

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1689292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1679252878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 HOWARD AVE",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088731113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4205 FRANCIS LEWIS BLVD",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612573",
            "telephone_number": "718-460-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VISCOVICH",
        "first_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "AU.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-14",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "003189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "TALAMO",
            "credential": "AU.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bayside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; 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.