Organization Active NPI

Alina Sarkisyan Nurse Practitioner in Adult Health PLLC

  • Gerontology Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1427795293
Registry record updated Dec 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
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

Updated by the provider on Dec 22, 2022

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

Authorized official

Name
Alina Sarkisyan, NPNPI 1376185165
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)CodeLicenseStatePrimary
Gerontology Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20220830000451 NY Part B Supplier - Clinic/Group Practice 6103200894 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2275544Alina Sarkisyan Nurse Practioner in Adult Health1629 Sheepshead Bay Rd 2ND Floor, Brooklyn, NY 11235Certificate of waiverJan 23, 2027

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.