Ellona Niyazova, MS. SP. ED

Primary specialty

SpecialistTaxonomy code 174400000X

License

2592776 Issued in NY

Practice address

4277 65TH PL
Woodside, NY 11377-5054

Phone

(718) 429-2000

Fax

(718) 334-0057

NPI assigned

Mar 1, 2016

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 names 1

• Ms. Ellona Niyazova Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1456790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456790400000",
    "number": "1417317660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4277 65TH PL",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113775054",
            "telephone_number": "718-429-2000",
            "fax_number": "718-334-0057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4277 65TH PL",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113775054",
            "telephone_number": "718-429-2000",
            "fax_number": "718-334-0057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIYAZOVA",
        "first_name": "ELLONA",
        "credential": "MS. SP. ED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-01",
        "last_updated": "2016-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "2592776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLONA",
            "last_name": "NIYAZOVA",
            "prefix": "MS.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Anluvar Nicolas, LMT
• Andrea Nieto, LMT
• Fira Nihamin, MD
• Celeste Ninalaya
• Dora Nisimov
• Marina Niyazova
• Sandra Joy Nohavicka, LCSW
• Nova Eye Care Inc
• NP Physical Therapy, PC
• Noel Melon Nuevas

• Specialist in Woodside, NY
• Providers in Woodside, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2016; 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.