Ya Anesthesia Ny PC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

YA ANESTHESIA NY PC

Practice address

6240 Woodhaven Blvd Ste P17
Rego Park, NY 11374-3702

Phone

(718) 200-8846

NPI assigned

Jan 8, 2019

Organization subpart

No

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

Authorized official

Name

Yakub AbrakhimovNPI 1144457698

Title

MD

Phone

(718) 675-9219

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yakub Abrakhimov, M.D.

  • Interventional Pain Medicine Physician
  • Rego Park, NY
  • NPI 1144457698

  Anesthesiology

  Medicare reassignment Care Compare group NPD Authorized official
• Vyacheslav Gulkarov, FNP

  • Family Nurse Practitioner
  • Rego Park, NY
  • NPI 1285071555
  Medicare reassignment Care Compare group NPD
• Yuriy Davydov, MD

  • Anesthesiology Physician
  • New York, NY
  • NPI 1023371887
  Medicare reassignment NPD

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

{
    "created_epoch": "1546905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661385600000",
    "number": "1447723986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6240 WOODHAVEN BLVD STE P17",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743702",
            "telephone_number": "718-200-8846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6240 WOODHAVEN BLVD STE P17",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743702",
            "telephone_number": "718-200-8846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YA ANESTHESIA NY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-08",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A",
        "authorized_official_last_name": "ABRAKHIMOV",
        "authorized_official_first_name": "YAKUB",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "718-675-9219"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Wu
• Tzipora Wurem, OTR/L
• Steven Xian, MD
• Linda Xiong, LCSW
• XL Softgoods Inc.
• Jacob Yacobov, FNP
• Yuliya Yadgarova, M.S.
• Yafa OT, P.C.
• Natella Yagoudaeva
• Veniamin Yagudayev, PHARM.D

• Interventional Pain Medicine Physician in Rego Park, NY
• Providers in Rego Park, NY by specialty
• Interventional Pain Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.