Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dmitriy Fuzaylov, MD

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1093974040

Dmitriy Fuzaylov, MD is a Pain Management in Rego Park, New York. Graduated from Icahn School of Medicine at Mount Sinai in 2005, 21 years ago. Practices with Innovative Rehabilitation Consultant Medical PC, a 4-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York and Pennsylvania.

Years since qualifying
21
Trained at
Icahn School of Medicine at Mount Sinai
Licensed in
NY, PA
In the registry since
2008
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

9701 66th Ave
Rego Park, NY 11374-4245
Phone: (718) 275-5200
Fax: (718) 275-6864
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Anesthesiology) Physician (primary) Taxonomy 207LP2900X · Licence 241269 (NY)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence 241269 (NY)
Pain Medicine (Anesthesiology) Physician Taxonomy 207LP2900X · Licence MD436995 (PA)

Record details

NPI number1093974040
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 5, 2008
Last updated in NPPESOctober 17, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPAIN MANAGEMENT
Also practisesPHYSICAL MEDICINE AND REHABILITATION
Medical schoolICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Graduated 2005 (21 years in practice)
Group practice Innovative Rehabilitation Consultant Medical Pc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Rego Park