Individual provider Active NPI

Isaac Yakubov, FNP

  • Family Nurse Practitioner
  • Flushing, NY
National Provider Identifier
1295324051
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
351240 Issued in NY
Practice address
10853 62ND Dr Apt 6E
Flushing, NY 11375-1221
Phone
(917) 345-5555
NPI assigned
Jan 14, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 351240 NY Primary
Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163W00000X 717225 NY

Addresses

Primary practice location

10853 62ND Dr Apt 6E
Flushing, NY 11375-1221

Mailing address

10853 62ND Dr Apt 6E
Forest Hills, NY 11375-1221
Phone (917) 345-5555

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250611003261 NY Practitioner - Nurse Practitioner 3476063017 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SG Medical Professional PCGroup PAC ID 9133646953, 17 clinicians

Practice addresses (Care Compare)

Flushing, NY 11367
Phone (347) 371-5889

260 Christopher LN
Suite 102a
Staten Island, NY 10314-1631
Phone (631) 759-9920

Hospital & facility affiliations

  • Girling Health Care of New York Home health agency, Brooklyn, NY, CCN 337243
  • Extended Home Care Home health agency, Brooklyn, NY, CCN 337414

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
717225NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
SG Medical Professional PC Single Specialty CurrentSince Oct 1, 2025 Accepting new patients
Rakhelya Rubinova NP in Family Health PLLC Single Specialty CurrentSince Jan 1, 2021 Accepting new patients
Yakubov NP in Family Health PLLC Single Specialty CurrentSince Apr 16, 2025 Accepting new patients

Locations

801 W 190th St
New York, NY 10040
Phone (212) 543-5000

140 Beach 114th St
Rockaway Park, NY 11694
Phone (718) 945-4600

260 Christopher Ln
Ste 102A
Staten Island, NY 10314
Phone (914) 370-4892

918 James St
Syracuse, NY 13203
Phone (315) 474-1561

Organizations & group practices 3

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.

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": "1610582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1295324051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10853 62ND DR APT 6E",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751221",
            "telephone_number": "917-345-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10853 62ND DR APT 6E",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113751221",
            "telephone_number": "917-345-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAKUBOV",
        "first_name": "ISAAC",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-14",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "351240",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "717225",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.