Rafael Yaakobov, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

344529 Issued in NY

Practice address

10816 72ND Ave Ste 2
Forest Hills, NY 11375-5656

Phone

(347) 836-3045

NPI assigned

Mar 17, 2017

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

Enrolled in NY, NJ2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mission Medical Care PCGroup PAC ID 2365705696, 54 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H3359

Interoperability endpoints

• Direct secure messaging: ryaakobov1345952@nychhc.direct-ci.com

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.

• Future Care Registered Professional Nursing PLLC

  • Health Service Clinic/Center
  • Forest Hills, NY
  • NPI 1003427329
  Medicare reassignment NPD Authorized official
• Mission Medical Care PC

  • Internal Medicine Physician
  • Rockville Centre, NY
  • NPI 1750898565

  Family

  Medicare reassignment Care Compare group NPD
• Ahava Medical and Rehabilitation Center, LLC

  • Rehabilitation Practitioner
  • Brooklyn, NY
  • NPI 1184878274
  Medicare reassignment NPD
• Rafael Yaakobov Family Health NP PC

  • Family Medicine Physician
  • Forest Hills, NY
  • NPI 1518627512
  NPD Authorized official
• Compassionate Community Physicians PC

  • Internal Medicine Physician
  • Forest Hills, NY
  • NPI 1003441429
  NPD
• R.Y. FNP Professional Corporation

  • Nurse Practitioner
  • Hackensack, NJ
  • NPI 1174339287
  NPD
• Fara Stricker Family Health Nurse Practitioner, P.C.

  dba Pura Vida Medical

  • Infusion Therapy Clinic/Center
  • Rockville Centre, NY
  • NPI 1669162970
  NPD (past)
• Nurture Your Nature Psychotherapy LCSW PC

  • Clinical Social Worker
  • Brooklyn, NY
  • NPI 1649983602
  NPD (past)

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

{
    "created_epoch": "1489708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581984000000",
    "number": "1689115065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10816 72ND AVE STE 2",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755656",
            "telephone_number": "347-836-3045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10816 72ND AVE STE 2",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755656",
            "telephone_number": "347-836-3045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAAKOBOV",
        "first_name": "RAFAEL",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-17",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "344529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shunjing Xu, RN
• Xyz Medical Supply LLC
• Y and I Physical Therapy PC
• Y. Aminova SLP P.C.
• Emanuel Yaakobov, FNP
• Julie Yachzel, MS SLP
• David Yadgar, MS PT DPT
• Dmitriy Yadgarov, MD
• Rita Yadgarova
• Tamara Yaguda

• Family Nurse Practitioner in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.