Family Health Nurse Practitioner PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

FAMILY HEALTH NURSE PRACTITIONER PLLC

Practice address

10038 67TH Dr
Forest Hills, NY 11375-3147

Phone

(347) 827-5898

NPI assigned

Aug 13, 2024

Organization subpart

No

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

Authorized official

Name

Emanuel Yaakobov, FNPNPI 1194319087

Title

Owner

Phone

(347) 827-5898

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

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

• Emanuel Yaakobov, FNP

  • Gastroenterology Physician
  • Forest Hills, NY
  • NPI 1194319087
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1723507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723507200000",
    "number": "1750112314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10038 67TH DR",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113753147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10038 67TH DR",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113753147",
            "telephone_number": "347-827-5898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HEALTH NURSE PRACTITIONER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-13",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A",
        "authorized_official_last_name": "YAAKOBOV",
        "authorized_official_first_name": "EMANUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-827-5898",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manuel A Fajardo, MD
• Larry Falcone
• Eunice Fam
• Family First Nurse Practitioner in Family Health PC
• Family Health NP Wellness PLLC
• Zhenxia Fang
• Albert Fano, MD
• Gabriella Farduahi
• Tenille D Faria
• Faris Al-Gebory MD

• Clinic/Center in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; 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.