Marina Yakobov, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

7822 165TH St
Fresh Meadows, NY 11366-1231

Phone

(347) 475-9171

NPI assigned

May 7, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

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.

• Marina SLP PC

  • Speech-Language Pathologist
  • Fresh Meadows, NY
  • NPI 1891259180
  NPD Authorized official

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

{
    "created_epoch": "1430956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616112000000",
    "number": "1225416514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7822 165TH ST",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661231",
            "telephone_number": "347-475-9171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7822 165TH ST",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661231",
            "telephone_number": "347-475-9171"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3100 47th Ave Fl 2",
            "address_purpose": "LOCATION",
            "city": "Long Island City",
            "state": "NY",
            "postal_code": "111013013",
            "country_code": "US",
            "telephone_number": "718-593-4121",
            "fax_number": "718-268-2646",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6700 192nd St Apt 404",
            "address_purpose": "LOCATION",
            "city": "Fresh Meadows",
            "state": "NY",
            "postal_code": "113653735",
            "country_code": "US",
            "telephone_number": "347-475-9171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YAKOBOV",
        "first_name": "MARINA",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-07",
        "last_updated": "2021-03-19",
        "certification_date": "2021-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "026321",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jiaqi Xu
• Elina Greg Yagud
• Amanda Yagudaev
• Emily Rachel Yagudaev
• Lev Yagudayev, M.D.
• Daniella Yakubov
• Diana Maria Yakubov, CCC M.S. SLP
• Mariya Yakubova, PHARMD.
• Milana Yakubova
• Carina Yang

• Speech-Language Pathologist in Fresh Meadows, NY
• Providers in Fresh Meadows, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.