Shoshana Yakubova

Primary specialty

OptometristTaxonomy code 152W00000X

License

ORT010010 Issued in NY

Practice address

6373 108TH St
Forest Hills, NY 11375-1607

Phone

(718) 896-2020

NPI assigned

Aug 16, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

State University of New York - State College Optometry, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Retina and Ophthalmology Services of New York PLLCGroup PAC ID 8628443082, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Retina & Ophthalmology Services of New York PLLC

  • Retina Specialist (Ophthalmology) Physician
  • Elmhurst, NY
  • NPI 1922708262
  Medicare reassignment Care Compare group NPD
• Internal Medicine & Geriatrics PLLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Elmhurst, NY
  • NPI 1053581801
  NPD

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

{
    "created_epoch": "1723766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1831921048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6351 ELLWELL CRES",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113744828",
            "telephone_number": "917-605-0402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6373 108TH ST",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751607",
            "telephone_number": "718-896-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAKUBOVA",
        "first_name": "SHOSHANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-16",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "ORT010010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yakov Levy MD PC
• Daniel Yakubov, FNP
• Kristina Yakubov, DDS
• Diana Yakubova, RPH
• Diana Yakubova, DPT
• Lyubov Yakutilova
• Angela Yang, CNM, WHNP-BC
• Jenny Yang, LAC, DACM
• John Yang, ACUPUNCTURE
• Yang Yang, RD

• Optometrist in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.