Daniella Yakubov

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F351316-01 Issued in NY

Practice address

7502 186TH St
Fresh Meadows, NY 11366-1722

Phone

(718) 223-0300

NPI assigned

Feb 14, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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

• Medical Services of Kips Bay PC

  • Neurology Physician
  • Great Neck, NY
  • NPI 1669075651
  Medicare reassignment NPD
• Medical Services of Kips Bay PC

  • Orthopaedic Surgery Physician
  • Garden City, NY
  • NPI 1629671185
  NPD

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

{
    "created_epoch": "1676332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676332800000",
    "number": "1023715570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17625 UNION TPKE STE 370",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7502 186TH ST",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661722",
            "telephone_number": "718-223-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAKUBOV",
        "first_name": "DANIELLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-14",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F351316-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elina Greg Yagud
• Amanda Yagudaev
• Emily Rachel Yagudaev
• Lev Yagudayev, M.D.
• Marina Yakobov, MS, CCC-SLP
• Diana Maria Yakubov, CCC M.S. SLP
• Mariya Yakubova, PHARMD.
• Milana Yakubova
• Carina Yang
• Joyce Yang, DPT

• Family Nurse Practitioner in Fresh Meadows, NY
• Providers in Fresh Meadows, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.