Organization Active NPI

Rafael Yaakobov Family Health NP PC

  • Family Medicine Physician
  • Forest Hills, NY
National Provider Identifier
1518627512
Registry record updated Dec 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
RAFAEL YAAKOBOV FAMILY HEALTH NP PC
Practice address
6405 Yellowstone Blvd Ste Cf104
Forest Hills, NY 11375-1588
Phone
(347) 836-3045
NPI assigned
Dec 19, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2021

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

Authorized official

Name
Rafael Yaakobov, NPNPI 1689115065
Title
Ceo
Phone
(347) 836-3045

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

6405 Yellowstone Blvd Ste Cf104
Forest Hills, NY 11375-1588

Mailing address

6405 Yellowstone Blvd Ste Cf104
Forest Hills, NY 11375-1588
Phone (347) 836-3045

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.futurecaremedicine.com

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1639872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639872000000",
    "number": "1518627512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6405 YELLOWSTONE BLVD STE CF104",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751588",
            "telephone_number": "347-836-3045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6405 YELLOWSTONE BLVD STE CF104",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751588",
            "telephone_number": "347-836-3045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAFAEL YAAKOBOV FAMILY HEALTH NP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-19",
        "last_updated": "2021-12-19",
        "certification_date": "2021-12-19",
        "status": "A",
        "authorized_official_last_name": "YAAKOBOV",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "347-836-3045",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.futurecaremedicine.com",
            "affiliation": "N",
            "address_1": "6405 Yellowstone Blvd Ste Cf104",
            "city": "Forest Hills",
            "state": "NY",
            "country_code": "US",
            "postal_code": "113751588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.