MEDICARE: MICHAEL SEROPYAN NP IN PSYCHIATRY PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1154288371
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MICHAEL SEROPYAN NP IN PSYCHIATRY PC

Provider Business Mailing Address
First Line	:	20505 E COUNTRY CLUB DR APT 1838
Second Line	:
City	:	AVENTURA
State	:	FL
Zip	:	33180-3040
Country	:	US
Telephone Number	:	646-236-8365
Fax Number	:

Provider Business Practice Location Address
First Line	:	626 SHEEPSHEAD BAY RD STE 640
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11224-3606
Country	:	US
Telephone Number	:	646-235-8365
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MICHAEL SEROPYAN
Credential	:	NP
Telephone Number	:	646-236-8365

Provider Enumeration Date	:	01/08/2026
Last Update Date	:	01/08/2026

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