Individual provider Active NPI

Alina Sarkisyan, RN, BSN, AGPCNP

  • Adult Health Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1376185165
Registry record updated Dec 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
309173 Issued in NY
Practice address
1629 Sheepshead Bay Rd FL 2
Brooklyn, NY 11235-3804
Phone
(718) 395-8994
Fax
(718) 306-9439
NPI assigned
Oct 13, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 309173 NY
Adult Health Nurse Practitioner 363LA2200X 309173 NY Primary

Addresses

Primary practice location

1629 Sheepshead Bay Rd FL 2
Brooklyn, NY 11235-3804

Mailing address

126 Beach 92ND St # 2B
Rockaway Beach, NY 11693-1699
Phone (646) 606-9604

Other practice location 1

4819 14th Ave
Brooklyn, NY 11219-3166
Phone (718) 438-0707

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
I20220830002119 NY Practitioner - Nurse Practitioner 8820472517 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1629 Sheepshead Bay Rd
FL 2
Brooklyn, NY 11235-3804
Phone (718) 395-8994

Hospital & facility affiliations

  • Shining Star Home Health Care Home health agency, Brooklyn, NY, CCN 337440
  • Girling Health Care of New York Home health agency, Brooklyn, NY, CCN 337243

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor on Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
309173NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Medical Center Current Accepting new patients
Alina Sarkisyan Nurse Practitioner in Adult Health PLLC Gerontology CurrentSince Jun 13, 2022 Accepting new patients
Total Care Radiology PC Past Accepting new patients

Locations

1629 Sheepshead Bay Rd
Ste 2
Brooklyn, NY 11235

1629 Sheepshead Bay Rd
Ste 203
Brooklyn, NY 11235

1629 Sheepshead Bay Rd
Fl 2
Brooklyn, NY 11235
Phone (718) 222-0225

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: alinasarkisyan@mai.allscriptsdirect.net

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1570924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671667200000",
    "number": "1376185165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 BEACH 92ND ST # 2B",
            "city": "ROCKAWAY BEACH",
            "state": "NY",
            "postal_code": "116931699",
            "telephone_number": "646-606-9604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1629 SHEEPSHEAD BAY RD FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353804",
            "telephone_number": "718-395-8994",
            "fax_number": "718-306-9439"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4819 14th Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112193166",
            "country_code": "US",
            "telephone_number": "718-438-0707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SARKISYAN",
        "first_name": "ALINA",
        "name_prefix": "Mrs.",
        "credential": "RN, BSN, AGPCNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-13",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NY",
            "license": "309173",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "309173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.