Aleksandr Niyazov

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

3608672 Issued in NY

Practice address

8310 118TH St
Apt# 5D
Kew Gardens, NY 11415-2375

Phone

(646) 472-6550

NPI assigned

Oct 21, 2014

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

State licenses

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

{
    "created_epoch": "1413849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413849600000",
    "number": "1902200751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8310 118TH ST",
            "address_2": "APT# 5D",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114152375",
            "telephone_number": "646-472-6550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8310 118TH ST",
            "address_2": "APT# 5D",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114152375",
            "telephone_number": "646-472-6550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIYAZOV",
        "first_name": "ALEKSANDR",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-10-21",
        "last_updated": "2014-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": "3608672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New York Medical & Diagnostic Center Inc
• New York Medical and Diagnostic Center
• New York State Neuropsychological State of Mind PC
• Beverly Nichols
• Jessica Karoline Nikiforidis, M.A., CCC-SLP
• Peter R Niyazov, PHARMD
• Noah D Freedman MD PC
• Northeast Insomnia & Sleep Medicine,PLLC
• Nova Edge Ny LLC
• Christiane Jivir Nsahlai, M.D/PH.D.

• Student in an Organized Health Care Education/Training Program in Kew Gardens, NY
• Providers in Kew Gardens, NY by specialty
• Student in an Organized Health Care Education/Training Program in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2014; 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.