Organization Active NPI

Future Care Registered Professional Nursing PLLC

  • Health Service Clinic/Center
  • Forest Hills, NY
National Provider Identifier
1003427329
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
FUTURE CARE REGISTERED PROFESSIONAL NURSING PLLC
Practice address
6405 Yellowstone Blvd Ste Cf104
Forest Hills, NY 11375-1588
Phone
(718) 885-4257
Fax
(718) 885-4261
NPI assigned
Aug 11, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Rafael YaakobovNPI 1689115065
Title
NP
Phone
(347) 836-3045

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Infusion Agency 251F00000X
Health Service Clinic/Center 261QH0100X Primary
Infusion Therapy Clinic/Center 261QI0500X

Addresses

Primary practice location

6405 Yellowstone Blvd Ste Cf104
Forest Hills, NY 11375-1588

Mailing address

6405 Yellowstone Blvd Ste Cf104
Forest Hills, NY 11375-1588
Phone (718) 885-4257

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201102001564 NY Part B Supplier - Clinic/Group Practice 0648680702 Receives reassigned benefits from 1 practitioner
Practice locations: Baldwin, NY; Bronx, NY; Brooklyn, NY; Forest Hills, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2231577Future Care Registered Professional Nursing PLLC6405 Yellowstone Blvd CF 104, Forest Hills, NY 11375Certificate of waiverAug 3, 2027

National Provider Directory

National Provider Directory

Locations

6405 Yellowstone Blvd
Ste CF104
Forest Hills, NY 11375
Phone (347) 836-3045

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 23

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1597104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631491200000",
    "number": "1003427329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6405 YELLOWSTONE BLVD STE CF104",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751588",
            "telephone_number": "718-885-4257",
            "fax_number": "718-885-4261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6405 YELLOWSTONE BLVD STE CF104",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751588",
            "telephone_number": "718-885-4257",
            "fax_number": "718-885-4261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUTURE CARE REGISTERED PROFESSIONAL NURSING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-11",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A",
        "authorized_official_last_name": "YAAKOBOV",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "347-836-3045"
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.