Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

NOA FUZAELOV PA-C
NPI 1275440497
Physician Assistant in Bronx, NY

Q: What is Noa Fuzaelov's NPI number?

The NPI number for Noa Fuzaelov is 1275440497. It was assigned to this individual provider in the NPPES registry on August 25, 2026.

Q: What is Noa Fuzaelov's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Noa Fuzaelov was last updated on August 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 25, 2026

2015 GRAND CONCOURSE, BRONX, NY 10453(718) 583-7736(347) 479-1303 Get Directions Write a Review

NPPES record added: August 25, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Noa Fuzaelov Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NOA FUZAELOV PA-C (NPI 1275440497) is an individual physician assistant in Bronx, New York, licensed in New York (036413) and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1275440497

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameNOA FUZAELOVCredential: PA-C

Location Address2015 GRAND CONCOURSEBronx, NY 10453-4303

Mailing Address2626 Halperin AveBronx, NY 10461-2631 · (718) 618-0401 · Fax (347) 479-1303

Phone(718) 583-7736

Fax(347) 479-1303

Sole ProprietorNo

Enumeration DateAugust 25, 2026

NPPES CertifiedAugust 25, 2026

✔ NPI 1275440497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in NY · 036413

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

2015 GRAND CONCOURSE, Bronx, NY 10453

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