Roman Fayzibayev, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F349255-01 Issued in NY

Practice address

15333 78TH Rd
Flushing, NY 11367-3541

Phone

(646) 508-3644

NPI assigned

Jun 18, 2022

Sex

Male

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Kings Medical Family Practice, P.C.Group PAC ID 4082989645, 18 clinicians

Excel Urgent Care of Astoria PLLCGroup PAC ID 4981874641, 11 clinicians

Beacon Health Medical PCGroup PAC ID 1658804760, 36 clinicians

Midtown New York Doctors Urgent Care PLLCGroup PAC ID 4981851037, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

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

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.

• Beacon Health Medical PC

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1679393052
  Medicare reassignment Care Compare group NPD
• Excel Urgent Care of Astoria PLLC

  • Urgent Care Clinic/Center
  • Howard Beach, NY
  • NPI 1235434036
  Medicare reassignment Care Compare group NPD
• Kings Medical Family Practice PC

  • Family Medicine Physician
  • Brooklyn, NY
  • NPI 1316461387
  Medicare reassignment Care Compare group NPD
• Midtown New York Doctors Urgent Care PLLC

  • Urgent Care Clinic/Center
  • New York, NY
  • NPI 1013278274
  Medicare reassignment Care Compare group NPD
• Ag Urgent Care, P.C.

  • Urgent Care Clinic/Center
  • Brooklyn, NY
  • NPI 1992116701
  Medicare reassignment NPD
• Ajay 28 LLC

  • Clinic/Center
  • Forest Hills, NY
  • NPI 1609342898
  Medicare reassignment NPD
• BP Immediate Medical Care, PC

  • Urgent Care Clinic/Center
  • Brooklyn, NY
  • NPI 1205105004
  Medicare reassignment NPD
• Prominis Medical Services PC

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1841323771
  Medicare reassignment NPD
• Roman NP in Family Health PLLC

  • Primary Care Clinic/Center
  • Rego Park, NY
  • NPI 1275497018

  Family

  NPD Authorized official
• Comprehensive Women'S Health of N.Y. PLLC

  • Obstetrics & Gynecology Physician
  • Glendale, NY
  • NPI 1982736047
  NPD (past)
• Peyman Younesi MD PLLC

  • Internal Medicine Physician
  • Fresh Meadows, NY
  • NPI 1891053328
  NPD (past)
• Pharma Holding Inc

  • Pharmacy
  • Brooklyn, NY
  • NPI 1396153680
  NPD (past)

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

{
    "created_epoch": "1655510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655510400000",
    "number": "1467183749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15333 78TH RD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113673541",
            "telephone_number": "646-508-3644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15333 78TH RD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113673541",
            "telephone_number": "646-508-3644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAYZIBAYEV",
        "first_name": "ROMAN",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-18",
        "last_updated": "2022-06-18",
        "certification_date": "2022-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F349255-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Devorah Fasten
• Rina Fatakhova, OTR/L
• Fauzia Syed-Khan
• Erich Faver
• Benjamin Justin Fay, DO
• Svetlana Fayziyev, OTR/L
• Sadyk Fayzulayev, RPA-C
• Rachel Fazilov, SLP
• Yashuo Fazilova, RN
• Moisey Fazylov

• Family Nurse Practitioner in Flushing, NY
• Providers in Flushing, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2022; 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.