Active NPI
Makeen Khalil Yacoub, MDFRCS
- Family Medicine Physician
- Warwick, NY
National Provider Identifier
1457370561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 152366
- Practice address
- 9 Grand Street
Warwick, NY 10990 - Phone
- (845) 986-5121
- Fax
- (845) 988-5131
- NPI assigned
- Jul 19, 2006
- Sex
- Male
- Sole proprietor
- No
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 Medicine Physician | 207Q00000X | 152366 | NY | Primary |
| Surgery Physician | 208600000X | 152366 | NY |
Addresses
Primary practice location
9 Grand Street
Warwick, NY 10990
Mailing address
9 Grand Street
PO Box 934
Warwick, NY 10990
Phone (845) 986-5121
Other identifiers 17
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P44374095 | Other | NY | MULTIPEAN |
| 10576 | Other | NJ | AMERIGROUP |
| 37414 | Other | NJ | AETNA |
| 4C1598 | Other | NY | HEALTH NET |
| 738828 | Other | NY | UNITED HEALTHCARE |
| 1000015413 | Other | NY | AFFINITY |
| 0034259 | Other | NY | GHI |
| 4531177 | Other | NY | AETNA |
| P462464 | Other | NY | OXFORD |
| 14867 | Other | NY | HUDSON HEALTH |
| 4531177 | Other | NJ | CIGNA |
| 5358892010 | Other | NY | CIGNA HMO |
| 01055590 | Medicaid | NY | |
| 5358892 | Other | NY | CIGNA |
| 3010366 | Other | NY | AETNA HMO |
| F04747 | Other | NJ | HEALTH NET |
| PIRS27858P | Other | NY | HIP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 152366 | NY | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ralph J Alvarez, MD, PLLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Primary Care Clinic/Center
- Warwick, NY
- NPI 1053677229
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1457370561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 GRAND STREET",
"address_2": "PO BOX 934",
"city": "WARWICK",
"state": "NY",
"postal_code": "10990",
"telephone_number": "845-986-5121",
"fax_number": "845-988-5131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 GRAND STREET",
"city": "WARWICK",
"state": "NY",
"postal_code": "10990",
"telephone_number": "845-986-5121",
"fax_number": "845-988-5131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YACOUB",
"first_name": "MAKEEN",
"middle_name": "KHALIL",
"credential": "MDFRCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "152366",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "152366",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTIPEAN",
"identifier": "P44374095",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "10576",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "37414",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET",
"identifier": "4C1598",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "738828",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AFFINITY",
"identifier": "1000015413",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "0034259",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4531177",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P462464",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUDSON HEALTH",
"identifier": "14867",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "4531177",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HMO",
"identifier": "5358892010",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01055590",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "5358892",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "3010366",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET",
"identifier": "F04747",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP",
"identifier": "PIRS27858P",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Warwick, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.