Active NPI
Alina Sarkisyan Nurse Practitioner in Adult Health PLLC
- Gerontology Nurse Practitioner
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- Legal business name
- ALINA SARKISYAN NURSE PRACTITIONER IN ADULT HEALTH PLLC
- Practice address
- 1629 Sheepshead Bay Rd FL 2
Brooklyn, NY 11235-3804 - Phone
- (718) 395-8994
- Fax
- (718) 306-9439
- NPI assigned
- May 13, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alina Sarkisyan, NP
- Title
- President
- Phone
- (646) 474-0580
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | Primary |
Addresses
Primary practice location
1629 Sheepshead Bay Rd FL 2
Brooklyn, NY 11235-3804
Mailing address
126 Beach 92ND St Apt 2B
Rockaway Beach, NY 11693-1699
Phone (646) 474-0580
Other practice location 1
1647 Ralph Ave
Brooklyn, NY 11236-3317
Phone (646) 474-0580
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2275544 | Alina Sarkisyan Nurse Practioner in Adult Health | Certificate of waiver | Jan 23, 2027 |
National Provider Directory
National Provider DirectoryLocations
1629 Sheepshead Bay Rd
Ste 203
Brooklyn, NY 11235
1647 Ralph Ave
Brooklyn, NY 11236
Phone (646) 474-0580
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Adult Health Nurse Practitioner
- Brooklyn, NY
- NPI 1376185165
Gerontology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652400000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1671667200000",
"number": "1427795293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "126 BEACH 92ND ST APT 2B",
"city": "ROCKAWAY BEACH",
"state": "NY",
"postal_code": "116931699",
"telephone_number": "646-474-0580"
},
{
"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": "1647 Ralph Ave",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112363317",
"country_code": "US",
"telephone_number": "646-474-0580",
"fax_number": "413-460-3796",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ALINA SARKISYAN NURSE PRACTITIONER IN ADULT HEALTH PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-05-13",
"last_updated": "2022-12-22",
"certification_date": "2022-12-22",
"status": "A",
"authorized_official_last_name": "SARKISYAN",
"authorized_official_first_name": "ALINA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "646-474-0580",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Gerontology",
"state": null,
"license": null,
"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 Dec 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.