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MATTHEW DERMKSIAN
NPI 1639981749
Physician Assistant - Surgical in New York, NY

Active since January 24, 2025
622 W 168TH ST, NEW YORK, NY 10032(212) 305-8312 Get Directions Write a Review

NPPES record last updated: January 26, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Matthew Dermksian NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MATTHEW DERMKSIAN (NPI 1639981749) is an individual surgical provider in New York, New York and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1639981749
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMATTHEW DERMKSIAN
Location Address622 W 168TH STNew York, NY 10032-3720
Mailing Address203 Legend Dr Apt 2407Sleepy Hollow, NY 10591-2965
Phone(212) 305-8312
Sole ProprietorNo
Enumeration DateJanuary 24, 2025
Last NPPES UpdateJanuary 26, 2025
NPPES CertifiedJanuary 26, 2025
✔ NPI 1639981749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
622 W 168TH ST, New York, NY 10032
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. PIETRO ALESSANDRO AMBROGIO CANETTA M.D.
Internal Medicine (Nephrology)
622 W 168TH ST, PH4-124
NEW YORK, NY 10032
New York County (212) 305-5020
CHARLES D RESOR
Internal Medicine
622 W 168TH ST
NEW YORK, NY 10032
New York County (212) 305-2913
MR. CALVIN KAILUN LEE NP
Nurse Practitioner (Adult Health)
622 W 168TH ST
NEW YORK, NY 10032
New York County (212) 305-0914
DI FAN CONEYBEARE M.D.
Emergency Medicine
622 W 168TH ST
NEW YORK, NY 10032
New York County (760) 808-2557
JONATHAN LE PHARM.D.
Pharmacist
622 W 168TH ST
NEW YORK, NY 10032
New York County (212) 342-8645
ASHLEE A CAMPBELL
Student in an Organized Health Care Education/Training Program
622 W 168TH ST
NEW YORK, NY 10032
New York County (212) 305-6100
STEVEN ZELEFSKY
Student in an Organized Health Care Education/Training Program
622 W 168TH ST
NEW YORK, NY 10032
New York County (212) 305-6100
DR. EMILY SPIERA MD, MPH
Student in an Organized Health Care Education/Training Program
622 W 168TH ST
NEW YORK, NY 10032
New York County (212) 305-6262

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Matthew Dermksian's NPI number?

The NPI number for Matthew Dermksian is 1639981749. It was assigned to this individual provider in the NPPES registry on January 24, 2025.

Where is Matthew Dermksian located?

Matthew Dermksian practices at 622 W 168th St, New York, NY 10032. The listed phone number is (212) 305-8312.

What is Matthew Dermksian's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Matthew Dermksian was last updated on January 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.