Active NPI
Ariella Fuzailof, DPM
- Foot & Ankle Surgery Podiatrist
- Hollis, NY
National Provider Identifier
1720781867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- N007513-01
- Practice address
- 19330 85TH Rd
Hollis, NY 11423-1134 - Phone
- (347) 831-2796
- NPI assigned
- Mar 27, 2023
- Last updated
- May 15, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | N007513-01 | NY | Primary |
Addresses
Primary practice location
19330 85TH Rd
Hollis, NY 11423-1134
Mailing address
5645 Main St
Flushing, NY 11355-5045
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N007513-01 | NY | MD | Foot & Ankle Surgery Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778803200000",
"number": "1720781867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5645 MAIN ST",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113555045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19330 85TH RD",
"city": "HOLLIS",
"state": "NY",
"postal_code": "114231134",
"telephone_number": "347-831-2796"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUZAILOF",
"first_name": "ARIELLA",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-27",
"last_updated": "2026-05-15",
"certification_date": "2026-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NY",
"license": "N007513-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hollis, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.