Daniel Elliot Zvi Fuzaylov, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

062400 Issued in NY

Practice address

6504 Ellwell Cres
Rego Park, NY 11374-5032

Phone

(646) 575-0958

Fax

(718) 630-3244

NPI assigned

Oct 27, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Daniel Fuzaylov DDS, PLLC

  • General Practice Dentistry
  • Glendale, NY
  • NPI 1841159563
  NPD Authorized official

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

{
    "created_epoch": "1603756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1306446554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6504 ELLWELL CRES",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113745032",
            "telephone_number": "646-575-0958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6504 ELLWELL CRES",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113745032",
            "telephone_number": "646-575-0958",
            "fax_number": "718-630-3244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUZAYLOV",
        "first_name": "DANIEL",
        "middle_name": "ELLIOT ZVI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-27",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "062400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dalia Frumkin, MD
• Gail Nurit Frumkin, M.D.
• Jiayi Fu
• Jie Fu, L.AC. PH.D.
• Elizabeth Y Fung, DO
• Dmitriy Fuzaylov, MD
• Oleg Fuzaylov, MD
• Sarah Fuzaylov, PA-C
• Violleta Fuzaylov, CCC-SLP
• Margarita Fuzaylova, MD

• General Practice Dentistry in Rego Park, NY
• Providers in Rego Park, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.