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

Roman Fayzibayev, FNP

Individual provider Family Nurse Practitioner · NPI 1467183749

Roman Fayzibayev, FNP is a Nurse Practitioner in Flushing, New York. Qualified in 2021, 5 years ago. Practices with Kings Medical Family Practice, PC, a 19-clinician group and offers telehealth. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2022
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

15333 78th Rd
Flushing, NY 11367-3541
Phone: (646) 508-3644
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F349255-01 (NY)

Record details

NPI number1467183749
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP
Sole proprietorYes
NPI enumeratedJune 18, 2022
Last updated in NPPESJune 18, 2022
Certification dateJune 18, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Kings Medical Family Practice, P.C. — 19 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

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