Individual provider Active NPI

Alexandria Mesropyan, PA

  • Physician Assistant
  • Mahwah, NJ
National Provider Identifier
1225730252
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
029785 Issued in NY
Practice address
285 Vista View Dr
Mahwah, NJ 07430-3701
Phone
(201) 675-7278
NPI assigned
Mar 21, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 029785 NY Primary

Addresses

Primary practice location

285 Vista View Dr
Mahwah, NJ 07430-3701

Mailing address

285 Vista View Dr
Mahwah, NJ 07430-3701
Phone (201) 675-7278

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231017001888 NY Practitioner - Physician Assistant 6800241456 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Interfaith Professional Physician Services, P.C. CurrentSince Oct 20, 2025 Accepting new patients
Brookdale Hospital Medical Center CurrentSince Sep 1, 2023 Accepting new patients
Kingsbrook Medical Associates PC CurrentSince Sep 1, 2023 Accepting new patients

Locations

1545 Atlantic Ave
Brooklyn, NY 11213
Phone (718) 613-4175

585 Schenectady Ave
Brooklyn, NY 11203
Phone (718) 604-0461

1235 Linden Blvd
Fl 2
Brooklyn, NY 11212
Phone (718) 240-7143

1 Brookdale Plz
Brooklyn, NY 11212
Phone (718) 240-5212

Networks

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

Organizations & group practices 5

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": "1679356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1225730252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 VISTA VIEW DR",
            "city": "MAHWAH",
            "state": "NJ",
            "postal_code": "074303701",
            "telephone_number": "201-675-7278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 VISTA VIEW DR",
            "city": "MAHWAH",
            "state": "NJ",
            "postal_code": "074303701",
            "telephone_number": "201-675-7278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESROPYAN",
        "first_name": "ALEXANDRIA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-21",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "029785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mahwah, NJ

Sources for this page

Verify at the official NPI Registry.