Emanuel Yaakobov, FNP

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

347362 Issued in NY

Practice address

10816 72ND Ave Ste 2
Forest Hills, NY 11375-5656

Phone

(718) 261-0900

NPI assigned

Feb 22, 2021

Sex

Male

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

Practice roles

Locations

Networks

• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H1722

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.

• Family Health Nurse Practitioner PLLC

  • Clinic/Center
  • Forest Hills, NY
  • NPI 1750112314
  Medicare reassignment Authorized official
• Wound Works Medical PC

  • Gastroenterology Physician
  • Forest Hills, NY
  • NPI 1992681662

  Single Specialty

  Medicare reassignment NPD
• Gastroenterology & Nutrition, PC

  • Gastroenterology Physician
  • Forest Hills, NY
  • NPI 1427214949
  Medicare reassignment

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

{
    "created_epoch": "1613952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613952000000",
    "number": "1194319087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10326 68TH RD APT B56",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113753272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10816 72ND AVE STE 2",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755656",
            "telephone_number": "718-261-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAAKOBOV",
        "first_name": "EMANUEL",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-22",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "347362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yanping Xie, SLP
• Shunjing Xu, RN
• Xyz Medical Supply LLC
• Y and I Physical Therapy PC
• Y. Aminova SLP P.C.
• Rafael Yaakobov, FNP
• Julie Yachzel, MS SLP
• David Yadgar, MS PT DPT
• Dmitriy Yadgarov, MD
• Rita Yadgarova

• Gastroenterology Physician in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Gastroenterology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; 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.