Active NPI
Roman Yakubov
- Taxi
- Woodside, NY
National Provider Identifier
1538580287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Taxi
- License
- B02674
- Practice address
- 2526 50TH St Ste 206D
Woodside, NY 11377-7836 - Phone
- (718) 545-7555
- Fax
- (718) 545-7556
- NPI assigned
- Dec 25, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Taxi | 344600000X | B02674 | NY | Primary |
Addresses
Primary practice location
2526 50TH St Ste 206D
Woodside, NY 11377-7836
Mailing address
2526 50TH St Ste 206D
Woodside, NY 11377-7836
Phone (718) 545-7555
Other names 1
- Roman Yakubov
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| B02674 | NY | MD | Taxi |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elal Car Limo Service LLC | Taxi | 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.
-
- Taxi
- Woodside, NY
- NPI 1295140689
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387929600000",
"number": "1538580287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2526 50TH ST STE 206D",
"city": "WOODSIDE",
"state": "NY",
"postal_code": "113777836",
"telephone_number": "718-545-7555",
"fax_number": "718-545-7556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2526 50TH ST STE 206D",
"city": "WOODSIDE",
"state": "NY",
"postal_code": "113777836",
"telephone_number": "718-545-7555",
"fax_number": "718-545-7556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YAKUBOV",
"first_name": "ROMAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-12-25",
"last_updated": "2013-12-25",
"status": "A"
},
"taxonomies": [
{
"code": "344600000X",
"taxonomy_group": "",
"desc": "Taxi",
"state": "NY",
"license": "B02674",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ROMAN",
"last_name": "YAKUBOV",
"credential": "LIVERY TAXI",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Woodside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.