Alexandra Gadayeva

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

023234 Issued in NY

Practice address

5501 94TH St
Flushing, NY 11373

Phone

(718) 271-1021

NPI assigned

Dec 20, 2018

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

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• OT Moves PC

  • Occupational Therapist
  • Rego Park, NY
  • NPI 1417715665
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1545264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545264000000",
    "number": "1457823049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63109 SAUNDERS ST APT A13",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743128",
            "telephone_number": "917-584-8618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 94TH ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "11373",
            "telephone_number": "718-271-1021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GADAYEVA",
        "first_name": "ALEXANDRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-20",
        "last_updated": "2018-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "023234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eduard Fuzaylov, TEACHER
• Leonard Fuzaylov, O.D
• Tzipora Fuzaylov, BA, CBS, IBCLC
• Ilana Fuzaylova, PHARMD
• Lyudmila Fuzaylova, FNP
• Parimala Rani Gaddam
• Al Natan Gadelov
• Lili Gafni-Montag, DDS
• Nina Yaffa Gafni, DPT
• Tamar Tzipora Gafni

• Occupational Therapist in Flushing, NY
• Providers in Flushing, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.