Rafael Yakutilov Neurology, PC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

RAFAEL YAKUTILOV NEUROLOGY, PC

Practice address

15 Beach 105TH St
Rockaway Park, NY 11694-2640

Phone

(718) 474-0023

Fax

(718) 474-2033

NPI assigned

Sep 11, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Rafael Yakutilov, M.D.NPI 1003811720

Title

Physician, Neurologist

Phone

(718) 474-0023

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

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

• Rafael Yakutilov, M.D.

  • Neurology Physician
  • Rockaway Park, NY
  • NPI 1003811720
  Medicare reassignment NPD Authorized official
• Sheldon Miller, DPM

  • Podiatrist
  • Rockaway Park, NY
  • NPI 1932280856
  NPD (past)

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233273600000",
    "number": "1073708269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 BEACH 105TH ST",
            "city": "ROCKAWAY PARK",
            "state": "NY",
            "postal_code": "116942640",
            "telephone_number": "718-474-0023",
            "fax_number": "718-474-2033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 BEACH 105TH ST",
            "city": "ROCKAWAY PARK",
            "state": "NY",
            "postal_code": "116942640",
            "telephone_number": "718-474-0023",
            "fax_number": "718-474-2033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAFAEL YAKUTILOV NEUROLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-11",
        "last_updated": "2009-01-30",
        "status": "A",
        "authorized_official_last_name": "YAKUTILOV",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_title_or_position": "PHYSICIAN, NEUROLOGIST",
        "authorized_official_telephone_number": "718-474-0023",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cristina Quilitano, OTR
• Susan Marie Quinn-Torpey, F.N.P.
• MD Fazle Rabbi, MD
• Samuel Rafol Rabino Jr., OT
• Stuart Rabinowitz, RPH
• Junear H Rajwant, OTR
• Vijay Ramanathan, LAC
• Shantia Reason
• Michelle Reddan
• Melisa M Redden, RN

• Neurology Physician in Rockaway Park, NY
• Providers in Rockaway Park, NY by specialty
• Neurology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.