Active NPI
Rachel Fazilov SLP PLLC
- Speech-Language Pathologist
- Flushing, NY
National Provider Identifier
1891675930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- RACHEL FAZILOV SLP PLLC
- Practice address
- 14460 Gravett Rd Apt 2C
Flushing, NY 11367-1307 - Phone
- (347) 418-2623
- NPI assigned
- Sep 8, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rachel Fazilov
- Title
- Ceo
- Phone
- (347) 418-2623
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
14460 Gravett Rd Apt 2C
Flushing, NY 11367-1307
Mailing address
14460 Gravett Rd Apt 2C
Flushing, NY 11367-1307
Phone (347) 418-2623
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Flushing, NY
- NPI 1447917471
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757289600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757289600000",
"number": "1891675930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14460 GRAVETT RD APT 2C",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113671307",
"telephone_number": "347-418-2623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14460 GRAVETT RD APT 2C",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113671307",
"telephone_number": "347-418-2623"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RACHEL FAZILOV SLP PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-09-08",
"last_updated": "2025-09-08",
"certification_date": "2025-09-07",
"status": "A",
"authorized_official_last_name": "FAZILOV",
"authorized_official_first_name": "RACHEL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "347-418-2623"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.