Organization Active NPI

Daniel Fuzaylov DDS, PLLC

  • General Practice Dentistry
  • Glendale, NY
National Provider Identifier
1841159563
Registry record updated Jan 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DANIEL FUZAYLOV DDS, PLLC
Practice address
6222 Myrtle Ave
Glendale, NY 11385-6236
Phone
(646) 575-0958
NPI assigned
Jan 19, 2026
Last updated
Jan 19, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Daniel Elliot-Zvi Fuzaylov, DDSNPI 1306446554
Title
Dentist
Phone
(646) 575-0958

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

6222 Myrtle Ave
Glendale, NY 11385-6236

Mailing address

6222 Myrtle Ave
Glendale, NY 11385-6236
Phone (646) 575-0958

National Provider Directory

National Provider Directory

Locations

6222 Myrtle Ave
Glendale, NY 11385
Phone (646) 575-0958

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1768780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768780800000",
    "number": "1841159563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6222 MYRTLE AVE",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113856236",
            "telephone_number": "646-575-0958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6222 MYRTLE AVE",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113856236",
            "telephone_number": "646-575-0958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL FUZAYLOV DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-19",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-19",
        "status": "A",
        "authorized_official_last_name": "FUZAYLOV",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "ELLIOT-ZVI",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "646-575-0958",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.