NICOLE SEFERSHAYAN AUD, CCC-A
NPI 1396320479
Audiologist in Staten Island, NY
About Nicole Sefershayan Aud, Ccc-a NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICOLE SEFERSHAYAN AUD, CCC-A (NPI 1396320479) is an individual audiologist in Staten Island, New York, licensed in New York (002998) and active in the NPI registry since March 2021.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Nicole Sefershayan Aud, Ccc-a is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Nicole Sefershayan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Elizabeth, NJ 07201
- Reassigned Medicare billing, New Jersey enrollment
- 24 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Nicole Sefershayan's NPI number?
The NPI number for Nicole Sefershayan is 1396320479. It was assigned to this individual provider in the NPPES registry on March 10, 2021.
Where is Nicole Sefershayan located?
Nicole Sefershayan practices at 11 Ralph Pl Ste 304, Staten Island, NY 10304. The listed phone number is (718) 980-0188.
What is Nicole Sefershayan's specialty?
The primary specialty registered for this NPI is Audiologist with taxonomy code 231H00000X.
Is Nicole Sefershayan enrolled in Medicare?
Yes. Nicole Sefershayan is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Nicole Sefershayan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Sefershayan reassigns Medicare benefits to Audiology Services Company Usa, LLC (Elizabeth, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicole Sefershayan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Nicole Sefershayan was last updated on March 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Nicole Sefershayan, AUD, CCC-A · NPI 1396320479
Audiologist provider in Staten Island, New York. Individual provider, active in the CMS NPPES registry since March 10, 2021.
## Identity
- **NPI:** 1396320479 (Entity type: Individual)
- **Enumerated:** March 10, 2021
- **Primary specialty:** Audiologist · taxonomy 231H00000X
- **State license:** 002998 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 11 RALPH PL STE 304, Staten Island, NY 10304-4416
- **Phone:** (718) 980-0188
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Audiology Services Company Usa, LLC (NPI 1386156651, Elizabeth, NJ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 10, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1396320479) · Data from the CMS NPPES public registry.