Svetlana Fuzaylova, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

214465 Issued in NY

Practice address

4402 Francis Lewis Blvd
Suite a
Bayside, NY 11361-3041

Phone

(718) 631-0500

Fax

(718) 281-1276

NPI assigned

Sep 14, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Svetlana Mavashev Former name

Medicare fee-for-service enrollment

Enrolled in NY

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 1

Specialty

Internal Medicine

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Upstate Geriatric Medical Services PCGroup PAC ID 6406255884, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722

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.

• Upstate Geriatric Medical Services PC

  • Internal Medicine Physician
  • Middle Village, NY
  • NPI 1225602675
  Medicare reassignment Care Compare group NPD
• New York Queens Medicine and Surgery, P.C.

  • Pediatrics Physician
  • Fresh Meadows, NY
  • NPI 1003114851
  Medicare reassignment NPD
• New York Queens Medicine and Surgery, P.C.

  • Multi-Specialty Clinic/Center
  • Flushing, NY
  • NPI 1740792233
  NPD

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247616000000",
    "number": "1003911033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4402 FRANCIS LEWIS BLVD",
            "address_2": "SUITE A",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113613041",
            "telephone_number": "718-631-0500",
            "fax_number": "718-281-1276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4402 FRANCIS LEWIS BLVD",
            "address_2": "SUITE A",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113613041",
            "telephone_number": "718-631-0500",
            "fax_number": "718-281-1276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUZAYLOVA",
        "first_name": "SVETLANA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2009-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "214465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01987957",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SVETLANA",
            "last_name": "MAVASHEV",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Candy Frye, LMSW
• Fryer Dermatology, PLLC
• Eric J Fryer, MD
• Meiyi Fu, PHARMD.
• Michelle Fuzaylova
• Benjamin Gabionza, PT
• Lysa M Gaccione, LPN
• Yujin Gang, RPT
• Alaina Gangi, PT, DPT
• Zi an Gao

• Internal Medicine Physician in Bayside, NY
• Providers in Bayside, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2009; 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.