DR. PETER R NIYAZOV (NPI# 1366735763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366735763 |
| Entity Type | Individual |
| Full Name | DR. PETER R NIYAZOV |
| Credential | PHARMD |
| Practice Address |
12510 Queens Blvd Kew Gardens NY 11415-1519 |
| Practice Telephone | 7185203460 |
| Practice Fax Number | 7185203462 |
| Mailing Telephone | 7185203460 |
| Mailing Fax Number | 7185203462 |
| Enumeration Date | 2011-05-18 |
| Last Update Date | 2011-05-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 050003 | NY | Pharmacy Service Providers |
| Street Address |
12510 QUEENS BLVD |
| City | KEW GARDENS |
| State | NY |
| Zip Code | 11415-1519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194721043 | Marian David, Md, PC | Specialist | 12510 Queens Blvd, Suite 2701, Kew Gardens, NY 11415-1519 | 2005-06-24 |
| 1396262556 | Natalie Yael Abraham | Physician Assistant | 12510 Queens Blvd, Kew Gardens, NY 11415-1519 | 2017-08-28 |
| 1659897973 | Evangelia Pagiazitis | Physician Assistant | 12510 Queens Blvd, Kew Gardens, NY 11415-1519 | 2017-08-17 |
| 1184025785 | Achieved Occupational Therapy Assistant Care, Pllc | Early Intervention Provider Agency | 12510 Queens Blvd, Unit #9a, Kew Gardens, NY 11415-1519 | 2014-09-15 |
| 1003049594 | Carrie A. Palmer, LLC | Ophthalmology | 12510 Queens Blvd, Ste. 911, Kew Gardens, NY 11415-1519 | 2009-08-31 |
| 1952549800 | Salim Baghdadi | Specialist | 12510 Queens Blvd, Suite 2701, Kew Gardens, NY 11415-1519 | 2009-01-30 |
| 1104072586 | Olga A Burzyantseva | Specialist | 12510 Queens Blvd, Ste 2701, Kew Gardens, NY 11415-1519 | 2008-08-17 |
| 1447419726 | Raul Luis Vilca | Internal Medicine | 12510 Queens Blvd, Kew Gardens, NY 11415-1519 | 2008-06-03 |
| 1306016969 | Chaim Meir Moeller | Specialist | 12510 Queens Blvd, Ste 2701, Kew Gardens, NY 11415-1519 | 2008-03-10 |
| 1821279449 | Harold W. Najac, M.d., P.C. | Ophthalmology | 12510 Queens Blvd, Suite 305, Kew Gardens, NY 11415-1519 | 2007-11-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700492519 | Si Physical Therapy | Clinic/Center | 119-60 Metropolitan Ave, Kew Gardens, NY 11415 | 2020-09-17 |
| 1760036073 | Alina Alayev | Nurse Practitioner | 123-60 83rd Ave 11d, Kew Gardens, NY 11415 | 2019-07-25 |
| 1659860435 | Karolina Pinkhasova | Developmental Therapist | 11917 83rd Ave, Kew Gardens, NY 11415 | 2018-05-07 |
| 1508395989 | Hiral Patel | Physician Assistant | 125-10 Queens Blvd, Suite 2701, Kew Gardens, NY 11415 | 2017-06-08 |
| 1912432147 | Jessica Stefanie Minsky | Speech-Language Pathologist | 82-34 Kew Gardens Rd, Kew Gardens, NY 11415 | 2017-04-25 |
| 1629426697 | Muhammad Usman | Physical Therapist | 8526 126th St Fl 2, Kew Gardens, NY 11415 | 2016-05-31 |
| 1598126260 | Chinonye Benjamin | Licensed Practical Nurse | 85-35 Leffert Blvd, Kew Gardens, Queens, NY 11415 | 2016-03-09 |
| 1730559105 | Mohamed Abaza | Physical Therapist | 119-05 80th Road, Kew Gardens, NY 11415 | 2015-09-29 |
| 1457737306 | Noelle Elizabeth Lenti-nightengale | Registered Nurse | 124-16 85 Avenue, Kew Gardens, NY 11415 | 2015-08-03 |
| 1871996983 | Zinovia Ioannou | Dental Hygienist | 121-56 Metropolitan Ave, Kew Gardens, NY 11415 | 2014-10-02 |
| Find all providers in zip 11415 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457704959 | Veniamin Balhiev | Pharmacist | 11818 Metropolitan Ave, Kew Gardens, NY 11415-2019 | 2016-07-20 |
| 1538503867 | Spencer Evan Lee | Pharmacist | 8333 Austin St Apt 3l, Kew Gardens, NY 11415-1813 | 2013-04-17 |
| 1689943839 | Milana Aminova | Pharmacist | 8330 118th St, Kew Gardens, NY 11415-2374 | 2011-12-16 |
| 1326328832 | Yakov Abdurakhmanov | Pharmacist | 8548 118th St, Kew Gardens, NY 11415-2908 | 2011-08-29 |
| 1831413087 | Natella Fazylov | Pharmacist | 11829a Metropolitan Ave, Kew Gardens, NY 11415-2020 | 2010-03-17 |
| 1316170244 | Jowairia Syeda Hussaini | Pharmacist | 8470 129th St, Kew Gardens, NY 11415-2810 | 2009-08-26 |
| 1346427465 | Emma Kalontar | Pharmacist | 118-07 Metropolitan Ave, Kew Gardens, NY 11415 | 2008-01-31 |
| 1477730786 | Ecaterina Dinca | Pharmacist | 8529 126th St, Kew Gardens, NY 11415-3312 | 2008-01-29 |
| 1184769051 | N&b Pharmacy Inc | Pharmacist | 118-29a Metropolitan Ave, Kew Gardens, NY 11415-2020 | 2007-02-20 |
| 1891851887 | Muhammed Arif | Pharmacist | 81-01lefferts Blvd., Kew Gardens, NY 11415 | 2006-12-28 |
| Find all providers in KEW GARDENS | ||||
| City | KEW GARDENS |
| Zip Code | 11415 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.