Individual provider Active NPI

Elina Romanovna Sarkisyan, MA, CMF

  • Mastectomy Fitter
  • Brooklyn, NY
National Provider Identifier
1104580463
Registry record updated Oct 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mastectomy FitterTaxonomy code 224900000X
License
A2036008 Issued in NY
Practice address
721 Henry St
Brooklyn, NY 11231-3247
Phone
(917) 909-1790
Fax
(929) 481-8500
NPI assigned
Oct 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mastectomy Fitter 224900000X A2036008 NY Primary

Addresses

Primary practice location

721 Henry St
Brooklyn, NY 11231-3247

Mailing address

721 Henry St
Brooklyn, NY 11231-3247
Phone (917) 909-1790

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
A2036008NYMDMastectomy Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Matter Consulting Mastectomy Fitter CurrentSince Oct 31, 2021 Accepting new patients

Organizations & group practices 1

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": "1634947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635206400000",
    "number": "1104580463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 HENRY ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112313247",
            "telephone_number": "917-909-1790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 HENRY ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112313247",
            "telephone_number": "917-909-1790",
            "fax_number": "929-481-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARKISYAN",
        "first_name": "ELINA",
        "middle_name": "ROMANOVNA",
        "credential": "MA, CMF",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-23",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224900000X",
            "taxonomy_group": "",
            "desc": "Mastectomy Fitter",
            "state": "NY",
            "license": "A2036008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.