Active NPI
Daniel Yakubov, FNP
- Family Nurse Practitioner
- Forest Hills, NY
National Provider Identifier
1780520155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F358828-01
- Practice address
- 6405 Yellowstone Blvd Apt 101
Forest Hills, NY 11375-1534 - Phone
- (718) 305-1056
- NPI assigned
- Apr 27, 2026
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F358828-01 | NY | Primary |
Addresses
Primary practice location
6405 Yellowstone Blvd Apt 101
Forest Hills, NY 11375-1534
Mailing address
6540 108TH St Apt 6B
Forest Hills, NY 11375-2219
Phone (347) 288-2425
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 |
|---|---|---|---|
| F358828-01 | NY | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1777248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785196800000",
"number": "1780520155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6540 108TH ST APT 6B",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113752219",
"telephone_number": "347-288-2425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6405 YELLOWSTONE BLVD APT 101",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113751534",
"telephone_number": "718-305-1056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YAKUBOV",
"first_name": "DANIEL",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-04-27",
"last_updated": "2026-07-28",
"certification_date": "2026-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F358828-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Forest Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.