Individual provider Active NPI

Yuri Yakubov, CRNA

  • Certified Registered Nurse Anesthetist
  • Valhalla, NY
National Provider Identifier
1770099681
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
652056 Issued in NY
Practice address
100 Woods Rd
Valhalla, NY 10595-1530
Phone
(914) 493-7000
NPI assigned
Dec 15, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 652056 NY Primary
Certified Registered Nurse Anesthetist 367500000X 11042361 FL

Addresses

Primary practice location

100 Woods Rd
Valhalla, NY 10595-1530

Mailing address

230 174TH St Apt 1101
Sunny Isles Beach, FL 33160-3330
Phone (347) 634-6050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180118000629 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 7012276116 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York Cardiovascular Anesthesiologists, P.C.Group PAC ID 5799676623, 135 clinicians
North Shore - Lij Anesthesiology, PCGroup PAC ID 1153602453, 990 clinicians

Practice addresses (Care Compare)

1 Healthy Way
Oceanside, NY 11572-1551
Phone (516) 632-3000

100 Port Washington Blvd
Roslyn, NY 11576-1347
Phone (516) 627-0334

10201 66TH Rd
Forest Hills, NY 11375-2029
Phone (718) 830-4000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11042361FLMDCertified Registered Nurse Anesthetist
652056NYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore - Lij Anesthesiology, PC CurrentSince Feb 2, 2025 Accepting new patients
Icahn School of Medicine at Mount Sinai Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2025 Accepting new patients
North American Partners in Anesthesia LLP CurrentSince Oct 21, 2019 Accepting new patients
Westchester Medical Center Advanced Physician Services, PC Current Accepting new patients
New York Cardiovascular Anesthesiologists, P.C. CurrentSince Sep 1, 2025 Accepting new patients
Quality Medical Management Corp Nurse Anesthetist, Certified Registered CurrentSince Sep 14, 2021 Accepting new patients
Westchester Medical Center Advanced Physician Services PC CurrentSince Feb 1, 2018 Accepting new patients
Long Island Anesthesia Physicians LLP CurrentSince Aug 15, 2021 Accepting new patients

Locations

11 E Fordham Rd
Ste A
Bronx, NY 10468
Phone (631) 446-1190

3122 Union St
Ste 1B
Flushing, NY 11354
Phone (718) 968-7171

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

195 E Main St
Huntington, NY 11743
Phone (631) 385-8677

1324 Motor Pkwy
Ste 101
Islandia, NY 11749
Phone (516) 850-8143

3636 33rd St
Ste 204
Long Island City, NY 11106
Phone (631) 446-1190

1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341

1111 Marcus Ave
Ste M04
New Hyde Park, NY 11042
Phone (585) 736-3650

310 E 14th St
New York, NY 10003
Phone (212) 979-4000

1 Healthy Way
Oceanside, NY 11572
Phone (516) 255-1581

1110 Hallock Ave
Port Jefferson Station, NY 11776
Phone (631) 476-9100

200 Belle Terre Rd
Prt Jefferson, NY 11777
Phone (631) 474-6000

1149 Old Country Rd
Riverhead, NY 11901
Phone (631) 727-3000

100 Port Washington Blvd
Roslyn, NY 11576
Phone (516) 562-6385

100 Woods Rd
Valhalla, NY 10595
Phone (914) 490-7000

Networks

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

Organizations & group practices 8

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1513296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1770099681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 174TH ST APT 1101",
            "city": "SUNNY ISLES BEACH",
            "state": "FL",
            "postal_code": "331603330",
            "telephone_number": "347-634-6050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WOODS RD",
            "city": "VALHALLA",
            "state": "NY",
            "postal_code": "105951530",
            "telephone_number": "914-493-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAKUBOV",
        "first_name": "YURI",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-15",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "652056",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "11042361",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valhalla, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.