Active NPI
Sarah Fuzailov
- Family Nurse Practitioner
- New Hyde Park, NY
National Provider Identifier
1790664704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F357449-01
- Practice address
- 15D Jericho Tpke
New Hyde Park, NY 11040-4515 - Phone
- (917) 564-5976
- NPI assigned
- Sep 2, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F357449-01 | NY | Primary |
Addresses
Primary practice location
15D Jericho Tpke
New Hyde Park, NY 11040-4515
Mailing address
15D Jericho Tpke
New Hyde Park, NY 11040-4515
Phone (917) 564-5976
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 |
|---|---|---|---|
| F357449-01 | NY | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756771200000",
"number": "1790664704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15D JERICHO TPKE",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110404515",
"telephone_number": "917-564-5976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15D JERICHO TPKE",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110404515",
"telephone_number": "917-564-5976"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUZAILOV",
"first_name": "SARAH",
"sole_proprietor": "YES",
"sex": "X",
"enumeration_date": "2025-09-02",
"last_updated": "2025-09-02",
"certification_date": "2025-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F357449-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Hyde Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.