Yakov Yakubov

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

22DI02667300 Issued in NJ

Practice address

315 Cedar LN
Teaneck, NJ 07666-3442

Phone

(201) 692-7737

NPI assigned

Mar 7, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1457308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656892800000",
    "number": "1619338449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 CEDAR LN",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076663442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 CEDAR LN",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076663442",
            "telephone_number": "201-692-7737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAKUBOV",
        "first_name": "YAKOV",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-07",
        "last_updated": "2022-07-04",
        "certification_date": "2022-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NJ",
            "license": "22DI02667300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jiyoung Wong, D.O
• Robert T Wong, D.M.D.
• Robert Worth, MD
• Maria Wunsch
• Jason B. Wynberg, M.D.
• Rena Yalen, MSW, LCSW
• Michael David Yammer, PH.D.
• Brian J Yang
• Paula A. Yapor Valentin, MD
• Sara Yarmak, LCSW

• Oral and Maxillofacial Surgery (Dentist) in Teaneck, NJ
• Providers in Teaneck, NJ by specialty
• Oral and Maxillofacial Surgery (Dentist) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2022; 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.