Carol Dersarkissian, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

221060 Issued in NY

Practice address

431 E 20TH St
Suite 11B
New York, NY 10010

Phone

(917) 566-9501

Fax

(917) 590-9861

NPI assigned

Jun 15, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, IL, FL, NJ, CT, MA, PA7 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 7

Specialty

Emergency Medicine

Education

University of Southern California Keck School of Medicine, 1998

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Electra Health Medical PCGroup PAC ID 5991159915, 13 clinicians

Electra Womens Health Medical NJ PCGroup PAC ID 8628591823, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Electra Health Medical PC

  • Gynecology Physician
  • Brooklyn, NY
  • NPI 1467070029

  CT, FL

  Medicare reassignment Care Compare group
• Electra Womens Health Medical NJ PC

  • Gynecology Physician
  • Toms River, NJ
  • NPI 1588471643
  Medicare reassignment Care Compare group
• Electra Health Medical Mass PC

  • Gynecology Physician
  • Sturbridge, MA
  • NPI 1336993575
  Medicare reassignment
• Elektra Women'S Health Medical, Inc.

  • Gynecology Physician
  • Cranberry Township, PA
  • NPI 1245084250

  IL

  Medicare reassignment
• Long Island College Hospital

  • Emergency Medicine Physician
  • Brooklyn, NY
  • NPI 1912091828
  NPD (past)
• Phelps Memorial Hospital Association

  • Internal Medicine Physician
  • Sleepy Hollow, NY
  • NPI 1003908658
  NPD (past)
• Phelps Memorial Hospital Association

  • Emergency Medicine Physician
  • Sleepy Hollow, NY
  • NPI 1205851821
  NPD (past)
• Integrative Womens Care PC

  • Obstetrics & Gynecology Physician
  • Palo Alto, CA
  • NPI 1972266732
  NPD (past)

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751760000000",
    "number": "1801830625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 E 20TH ST",
            "address_2": "SUITE 11B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10010",
            "telephone_number": "917-566-9501",
            "fax_number": "917-590-9861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 E 20TH ST",
            "address_2": "SUITE 11B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10010",
            "telephone_number": "917-566-9501",
            "fax_number": "917-590-9861"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "195 Page Mill Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Palo Alto",
            "state": "CA",
            "postal_code": "943062073",
            "country_code": "US",
            "telephone_number": "888-731-8994",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DERSARKISSIAN",
        "first_name": "CAROL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2025-07-06",
        "certification_date": "2025-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "221060",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "221060",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miryam Maribel Derosso
• Stephen Deroux
• Richard Allan Derrickson, PHYSICAL THERAPIST
• Anna Lisa Derrien, M.D.
• Kendall Helene Derry
• Goldie Dersh, LCSW, PHD
• D David Dershaw, MD
• Lyle Dershowitz
• Katia Derthick, CNM
• Taylor Jade Derubeis, PA

• Emergency Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Emergency Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.