RAFFI DERSARKISSIAN MD NPI 1942234091

Specialist in Quincy, MA

NPI 1942234091 Individual Male Years of Experience 33 Specialist PECOS Enrolled May Accept Medicare Approved Payment

About RAFFI DERSARKISSIAN

Raffi Dersarkissian is a provider established in Quincy, Massachusetts and his medical specialization is specialist with more than 33 years of experience. He graduated from State University Of New York At Buffalo School Of Medicine in 1989. The NPI number of Raffi Dersarkissian is 1942234091 and was assigned on July 2006. The practitioner's primary taxonomy code is 174400000X with license number MA150911 (MA). The provider is registered as an individual and his NPI record was last updated 14 years ago.

Raffi Dersarkissian is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Raffi Dersarkissian is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.

NPI

1942234091

Provider Name RAFFI DERSARKISSIAN MD
Provider Location Address500 CONGRESS ST SUITE 2A QUINCY, MA 02169
Provider Mailing Address500 CONGRESS ST SUITE 2A QUINCY, MA 02169
GenderMale
NPI Entity TypeIndividual
Medical School NameSTATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Graduation Year1989
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date07-11-2006
Last Update Date07-08-2007


Primary Taxonomy

Taxonomy Code174400000X
ClassificationSpecialist
TypeOther Service Providers
License No.MA150911
License StateMA
Taxonomy DescriptionAn individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Business Address

RAFFI DERSARKISSIAN MD
500 CONGRESS ST
SUITE 2A
QUINCY, MA
ZIP 02169
Phone: (781) 682-9009
Fax: (781) 682-0300

Get Directions


Mailing Address

RAFFI DERSARKISSIAN MD
500 CONGRESS ST
SUITE 2A
QUINCY, MA
ZIP 02169
Phone: (781) 682-9009
Fax: (781) 682-0300



Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
F89460MEDICARE UPIN (02)MA
3152391MEDICAID (05)MA
A21356MEDICARE ID-TYPE UNSPECIFIED (04)MA

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1942200324 JEANNE C BENOIT NURSE PRACTIONER
Individual
Nurse Practitioner (Adult Health)500 CONGRESS ST
QUINCY, MA 02169
(617) 471-0033
1891795811 MARY B HOPWOOD NURSE PRACTIONER
Individual
Nurse Practitioner (Adult Health)500 CONGRESS ST SUITE 3C
QUINCY, MA 02169
(617) 471-0033
1720089683 MARILYN B GREEN NURSE PRACTIONER
Individual
Nurse Practitioner (Adult Health)500 CONGRESS ST
QUINCY, MA 02169
(617) 471-0033
1407857378 HELEN JENEST NURSE PRACTIONER
Individual
Nurse Practitioner (Adult Health)500 CONGRESS ST
QUINCY, MA 02169
(617) 417-0033
1568463248 CATHERINE MILCH M.D.
Individual
Internal Medicine (Cardiovascular Disease)500 CONGRESS ST
QUINCY, MA 02169
(617) 471-0033
1326049065 ROBERT M WEINBERG M.D.
Individual
Internal Medicine500 CONGRESS ST SUITE 3C
QUINCY, MA 02169
(617) 471-0033
1285635979 NANCY DREW M.D.
Individual
Internal Medicine500 CONGRESS ST 3RD FLOOR
QUINCY, MA 02169
(617) 471-0033
1659372902GRANITE MEDICAL GROUP INC
Organization
Family Medicine (Adult Medicine)500 CONGRESS ST
QUINCY, MA 02169
(617) 471-0033
1386645679 CYNTHIA CULLINANE M.D.
Individual
Internal Medicine (Geriatric Medicine)500 CONGRESS ST 3RD FLOOR
QUINCY, MA 02169
(617) 471-0033
1972504298 KENNETH EINSTEIN M.D.
Individual
Internal Medicine (Pulmonary Disease)500 CONGRESS ST 3RD FLOOR
QUINCY, MA 02169
(617) 471-0033
1538160684 CECILIA MULLEN NURSE PRACTIONER
Individual
Nurse Practitioner (Adult Health)500 CONGRESS ST
QUINCY, MA 02169
(617) 471-0033
1659372787 DENNIS GOLDIN M.D.
Individual
Internal Medicine (Rheumatology)500 CONGRESS ST 3RD FLOOR
QUINCY, MA 02169
(617) 471-0033
1942201066 ROBERT H NOONAN M.D.
Individual
Internal Medicine (Cardiovascular Disease)500 CONGRESS ST 3RD FLOOR
QUINCY, MA 02169
(617) 471-0033
1821089921DR. JOHN B. LAZOR M.D.
Individual
Otolaryngology500 CONGRESS ST SUITE 2B
QUINCY, MA 02169
(617) 774-1717
1497746507DR. PETER N. FRIEDENSOHN M.D.
Individual
Otolaryngology500 CONGRESS ST SUITE 2B
QUINCY, MA 02169
(617) 774-1717
1588646061 DAVID ROBERTSON DOBROSKI M.D.
Individual
Internal Medicine (Cardiovascular Disease)500 CONGRESS ST SUITE 3A
QUINCY, MA 02169
(617) 471-0033
1194790402 ROBERT SIPZENER MD
Individual
Internal Medicine (Gastroenterology)500 CONGRESS ST 3RD FLOOR
QUINCY, MA 02169
(617) 471-0033
1104891134 ROBERT SALZMAN M.D.
Individual
Internal Medicine (Endocrinology, Diabetes & Metabolism)500 CONGRESS ST 3RD FLOOR
QUINCY, MA 02169
(617) 471-0033
1467427484 GEORGE DUCACH DPM
Individual
Podiatrist500 CONGRESS ST
QUINCY, MA 02169
(617) 471-0033
1548235583 CHARLES SCHWARTZ MD
Individual
Internal Medicine (Gastroenterology)500 CONGRESS ST 3RD FLOOR
QUINCY, MA 02169
(617) 471-0033

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.