Individual provider Active NPI

Gabrielle Yakubovich, P.A.

  • Physician Assistant
  • Pennington, NJ
National Provider Identifier
1013871417
Registry record updated Jan 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00965800 Issued in NJ
Practice address
2 Capital Way Ste 220
Pennington, NJ 08534-2523
Phone
(609) 303-0747
NPI assigned
Dec 11, 2025
Last updated
Jan 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 25MP00965800 NJ Primary
Physician Assistant 363A00000X MA066946 PA

Addresses

Primary practice location

2 Capital Way Ste 220
Pennington, NJ 08534-2523

Mailing address

2 Capital Way Ste 220
Pennington, NJ 08534-2523
Phone (609) 303-0747

Other practice location 1

40 Fuld St Ste 404
Trenton, NJ 08638-5247
Phone (609) 303-0747

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address Gabrielle.Yakubovich.1@12833.direct.athenahealth.com Direct
Direct Messaging Address Gabrielle.Yakubovich.1@12833.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260205000247 NJ Practitioner - Physician Assistant 4284113788 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Temple University School of Medicine, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital Health Medical GroupGroup PAC ID 7618264532, 442 clinicians

Practice addresses (Care Compare)

2 Capital Way
Suite 220
Pennington, NJ 08534-2523
Phone (609) 303-0747

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
25MP00965800NJMDPhysician Assistant
MA066946PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Health Medical Group CurrentSince Mar 1, 2026 Accepting new patients

Locations

1 Capital Way
Pennington, NJ 08534
Phone (609) 303-4000

2 Capital Way
Ste 220
Pennington, NJ 08534
Phone (609) 303-0747

40 Fuld St
Ste 404
Trenton, NJ 08638
Phone (609) 303-0747

Interoperability endpoints

  • Direct secure messaging: gabrielle.yakubovich.1@12833.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/12833/brand/1/csg/1/fhir/r4

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1765411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769126400000",
    "number": "1013871417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CAPITAL WAY STE 220",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "085342523",
            "telephone_number": "609-303-0747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CAPITAL WAY STE 220",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "085342523",
            "telephone_number": "609-303-0747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 Fuld St Ste 404",
            "address_purpose": "LOCATION",
            "city": "Trenton",
            "state": "NJ",
            "postal_code": "086385247",
            "country_code": "US",
            "telephone_number": "609-303-0747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YAKUBOVICH",
        "first_name": "GABRIELLE",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-11",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00965800",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA066946",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Gabrielle.Yakubovich.1@12833.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2 Capital Way Ste 220",
            "city": "Pennington",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "085342523",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Gabrielle.Yakubovich.1@12833.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "40 Fuld St Ste 404",
            "city": "Trenton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "086385247",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pennington, NJ

Sources for this page

Verify at the official NPI Registry.