Organization Active NPI

Nutrition Therapy Technology Partners, P.a.

  • Family Medicine Physician
  • New York, NY
National Provider Identifier
1821896432
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
NUTRITION THERAPY TECHNOLOGY PARTNERS, P.A.
Practice address
19 W 24TH St FL 4
New York, NY 10010-3239
Phone
(786) 316-9685
NPI assigned
Mar 7, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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

Authorized official

Name
Yury Yakubchyk, MD
Title
President
Phone
(786) 316-9685

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

19 W 24TH St FL 4
New York, NY 10010-3239

Mailing address

19 W 24TH St FL 4
New York, NY 10010-3239

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1741305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741305600000",
    "number": "1821896432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 W 24TH ST FL 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100103239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 W 24TH ST FL 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100103239",
            "telephone_number": "786-316-9685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRITION THERAPY TECHNOLOGY PARTNERS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-07",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A",
        "authorized_official_last_name": "YAKUBCHYK",
        "authorized_official_first_name": "YURY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-316-9685",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2025; 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.