Individual provider Active NPI

Valery Yuabov

  • Acupuncturist
  • Flushing, NY
National Provider Identifier
1811402480
Registry record updated Aug 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
6126-1 Issued in NY
Practice address
7911 149TH St
Flushing, NY 11367-3845
Phone
(917) 749-4429
NPI assigned
Dec 5, 2017
Last updated
Aug 9, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 6126-1 NY Primary

Addresses

Primary practice location

7911 149TH St
Flushing, NY 11367-3845

Mailing address

7911 149TH St
Flushing, NY 11367-3845
Phone (917) 749-4429

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
6126-1NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Happy Acupuncture Practitioner of Ny, LLC Acupuncturist CurrentSince Jul 4, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1512432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628467200000",
    "number": "1811402480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7911 149TH ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113673845",
            "telephone_number": "917-749-4429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7911 149TH ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113673845",
            "telephone_number": "917-749-4429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUABOV",
        "first_name": "VALERY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-12-05",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "6126-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; 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.