Active NPI
Nutrition Therapy Technology Partners, P.a.
- Family Medicine Physician
- New York, NY
National Provider Identifier
1821896432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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 DirectoryNPI 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.