Nathan Phuzaylof, CM CERTIFIED MOHEL

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

674 Cypress Ave
Lakewood, NJ 08701-5310

Phone

(347) 217-0265

NPI assigned

Feb 12, 2026

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1770854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1689526410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "674 CYPRESS AVE",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015310",
            "telephone_number": "347-217-0265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "674 CYPRESS AVE",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015310",
            "telephone_number": "347-217-0265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHUZAYLOF",
        "first_name": "NATHAN",
        "credential": "CM CERTIFIED MOHEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-02-12",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristyn Phelps, M.D.
• Rosily Philip, APN
• Dvora Phillip
• Samantha Josephine Phillips, AGNP
• Phoenix Medical Associates, LLC
• Lauren Picciotto, DDS
• Nechama Pick, MS CCC SLP
• Lieba Picker, MS, CCC-SLP
• Victoria Pickersgill, D.P.T.
• Pii Medical Services, Inc.

• Specialist in Lakewood, NJ
• Providers in Lakewood, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; 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.