DIANA FUZAILOV PA-C
NPI 1851794705
Physician Assistant - Medical in New Hyde Park, NY
About Diana Fuzailov Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DIANA FUZAILOV PA-C (NPI 1851794705) is an individual medical provider in New Hyde Park, New York, licensed in New York (017849-1) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Diana Fuzailov Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEW HYDE PARK, NY 11040
NEW HYDE PARK, NY 11040
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Diana Fuzailov's NPI number?
The NPI number for Diana Fuzailov is 1851794705. It was assigned to this individual provider in the NPPES registry on October 7, 2014.
Where is Diana Fuzailov located?
Diana Fuzailov practices at 27005 76th Ave, New Hyde Park, NY 11040. The listed phone number is (516) 470-7500.
What is Diana Fuzailov's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Diana Fuzailov enrolled in Medicare?
Yes. Diana Fuzailov is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Diana Fuzailov was last updated on October 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.
# Diana Fuzailov, PA-C · NPI 1851794705
Medical physician in New Hyde Park, New York. Individual provider, active in the CMS NPPES registry since October 7, 2014.
## Identity
- **NPI:** 1851794705 (Entity type: Individual)
- **Enumerated:** October 7, 2014
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** 017849-1 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 27005 76TH AVE, New Hyde Park, NY 11040-1402
- **Phone:** (516) 470-7500
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** October 7, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1851794705) · Data from the CMS NPPES public registry.