Gabriel Yakubov, RPA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

014691-1 Issued in NY

Practice address

15018 72ND Dr
#2F
Flushing, NY 11367-2678

Phone

(917) 302-5478

NPI assigned

Jun 10, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

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

{
    "created_epoch": "1370822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448841600000",
    "number": "1851739015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15018 72ND DR",
            "address_2": "#2F",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113672678",
            "telephone_number": "917-302-5478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15018 72ND DR",
            "address_2": "#2F",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113672678",
            "telephone_number": "917-302-5478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAKUBOV",
        "first_name": "GABRIEL",
        "credential": "RPA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-10",
        "last_updated": "2015-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "014691-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TIRF REMS",
            "identifier": "PRS0194467292",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marina Yahuda, OT
• Olga Yakobov
• Yakubov NP in Family Health PLLC
• Abo Yakubov
• Gabriel Yakubov
• Isaac Yakubov, FNP
• Izabella Yakubov, PHARM D
• Lev Yakubov, PA
• Levy Yakubov, PA-C
• Mikhail Yakubov, D.O.

• Physician Assistant in Flushing, NY
• Providers in Flushing, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2015; 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.