Individual provider Active NPI

Boris G Yuabov, DPM

  • Foot & Ankle Surgery Podiatrist
  • Rego Park, NY
National Provider Identifier
1306851118
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
N005681 Issued in NY
Practice address
9810 64TH Ave
Ste GB
Rego Park, NY 11374-2541
Phone
(718) 896-4367
Fax
(718) 606-9521
NPI assigned
Jul 30, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X N005681 NY Primary

Addresses

Primary practice location

9810 64TH Ave
Ste GB
Rego Park, NY 11374-2541

Mailing address

9810 64TH Ave
Ste GB
Rego Park, NY 11374-2541
Phone (718) 896-4367

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080310000548 NY Practitioner - Podiatry 7416032834 Practice locations: Bronx, NY; Rego Park, NY

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6536 99TH St
Rego Park, NY 11374-4358
Phone (718) 896-4367

9810 64TH Ave
Rego Park, NY 11374-2501

9810 64TH Ave GB
Rego Park, NY 11374-2501
Phone (718) 896-4367

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue57
Removal of nail tissue51

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N005681NYMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bgy Podiatry PC Past Accepting new patients

Networks

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

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306851118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9810 64TH AVE",
            "address_2": "STE GB",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113742541",
            "telephone_number": "718-896-4367",
            "fax_number": "718-606-9521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9810 64TH AVE",
            "address_2": "STE GB",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113742541",
            "telephone_number": "718-896-4367",
            "fax_number": "718-606-9521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUABOV",
        "first_name": "BORIS",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "N005681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rego Park, NY

Sources for this page

Verify at the official NPI Registry.