Ny Gastroenterology & Liver Disease PC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

NY GASTROENTEROLOGY & LIVER DISEASE PC

Doing business as

NY Gastroenterology & Liver Disease PC

Practice address

9932 66TH Rd
Rego Park, NY 11374-4462

Phone

(929) 588-9800

Fax

(929) 376-0856

NPI assigned

Nov 18, 2022

Last updated

Sep 2, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stanley YakubovNPI 1982993754

Title

MD

Phone

(929) 588-9800

Specialties & licenses 2

Addresses

Other names 1

• NY Gastroenterology & Liver Disease PC Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stanley Yakubov, M.D.

  • Gastroenterology Physician
  • Rego Park, NY
  • NPI 1982993754

  Internal Medicine

  Medicare reassignment NPD Authorized official
• Susan Collura Schiliro, DPT CHT

  • Hand Physical Therapist
  • Rego Park, NY
  • NPI 1215042486
  NPD (past)

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

{
    "created_epoch": "1668729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1467161349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9932 66TH RD STE LE",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113744405",
            "telephone_number": "929-588-9800",
            "fax_number": "929-376-0856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9932 66TH RD",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113744462",
            "telephone_number": "929-588-9800",
            "fax_number": "929-376-0856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NY GASTROENTEROLOGY & LIVER DISEASE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-18",
        "last_updated": "2025-09-02",
        "certification_date": "2024-10-29",
        "status": "A",
        "authorized_official_last_name": "YAKUBOV",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "929-588-9800"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NY Gastroenterology & Liver Disease PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Gastroenterology Physician in Rego Park, NY
• Providers in Rego Park, NY by specialty
• Gastroenterology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.