Active NPI
Isaac Yakubov, FNP
- Family Nurse Practitioner
- Flushing, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 351240
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 351240 | NY | Primary |
| Registered Nurse | 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
Enrollment records 1
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
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
- Extended Home Care
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 717225 | NY | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SG Medical Professional PC | Single Specialty | Current | Accepting new patients |
| Rakhelya Rubinova NP in Family Health PLLC | Single Specialty | Current | Accepting new patients |
| Yakubov NP in Family Health PLLC | Single Specialty | Current | 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.
-
- Family Medicine Physician
- Staten Island, NY
- NPI 1457085615
Single Specialty
-
- Family Nurse Practitioner
- Flushing, NY
- NPI 1639996358
Single Specialty
-
- Family Nurse Practitioner
- Flushing, NY
- NPI 1235956707
Single Specialty
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Brooklyn, NY
- NPI 1396836219
-
- Home Health Agency
- Brooklyn, NY
- NPI 1568886653
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.