Violleta Fuzaylov, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

019822 Issued in NY

Practice address

6511 Booth St
Suite 1 C
Rego Park, NY 11374-4181

Phone

(347) 738-1197

NPI assigned

Apr 22, 2009

Last updated

Jun 9, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Violleta Fuzaylov Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Violleta Fuzaylov, Inc

  • Speech-Language Pathologist
  • Rego Park, NY
  • NPI 1942582325
  Authorized official Same address or phone

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

{
    "created_epoch": "1240358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307577600000",
    "number": "1457595373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6511 BOOTH ST",
            "address_2": "SUITE 1 C",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113744181",
            "telephone_number": "347-738-1197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6511 BOOTH ST",
            "address_2": "SUITE 1 C",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113744181",
            "telephone_number": "347-738-1197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUZAYLOV",
        "first_name": "VIOLLETA",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-22",
        "last_updated": "2011-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "019822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VIOLLETA",
            "last_name": "FUZAYLOV",
            "credential": "CCC-SLP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Elizabeth Y Fung, DO
• Daniel Elliot Zvi Fuzaylov, DDS
• Dmitriy Fuzaylov, MD
• Oleg Fuzaylov, MD
• Sarah Fuzaylov, PA-C
• Margarita Fuzaylova, MD
• Diana Gabrielyan
• Yafit Gadaev
• Arkadiy Gadayev, PHARM D
• Jennifer Gadayeva, RPH

• Speech-Language Pathologist in Rego Park, NY
• Providers in Rego Park, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2011; 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.