Active NPI
Stanley Yakubov, M.D.
- Gastroenterology Physician
- Rego Park, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 276349
- Practice address
- 9932 66TH Rd
Rego Park, NY 11374-4462 - Phone
- (929) 588-9800
- Fax
- (929) 376-0856
- NPI assigned
- Apr 1, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 276349 | NY | |
| Gastroenterology Physician | 207RG0100X | 276349 | NY | Primary |
Addresses
Primary practice location
9932 66TH Rd
Rego Park, NY 11374-4462
Mailing address
9932 66TH Rd Ste Le
Rego Park, NY 11374-4405
Phone (929) 588-9800
Medicare participation
Medicare enrollment files- 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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
9932 66TH Rd
Suite Le
Rego Park, NY 11374-4405
Phone (929) 588-9800
Hospital & facility affiliations
- Queens Hospital Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 17 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 276349 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maimonides Medical Center Maimonides Primary Care FPP | Internal Medicine | Current | Accepting new patients |
| Maimonides Medical Center | Current | Accepting new patients | |
| Maimonides Faculty Practice Plan | Internal Medicine | Current | Accepting new patients |
| Ny Gastroenterology & Liver Disease PC | Internal Medicine | Current | Accepting new patients |
| New York City Health and Hospitals Corporation | Internal Medicine | Past | Accepting new patients |
| Susan Collura Schiliro DPT PT CHT PC | Past | Accepting new patients |
Locations
4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724
17660 Union Tpke
Ste 101
Fresh Meadows, NY 11366
Phone (347) 738-5700
16110 Jamaica Ave
Jamaica, NY 11432
Phone (718) 674-1000
9932 66th Rd
Ste Le
Rego Park, NY 11374
Phone (718) 544-1937
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
Interoperability endpoints
- stanleyyakubov@mai.allscriptsdirect.net
- syakubov1657211@nychhc.direct-ci.com
Organizations & group practices 6
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.
-
- Gastroenterology Physician
- Rego Park, NY
- NPI 1467161349
Internal Medicine
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1053344846
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1013968593
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1093777492
-
- General Acute Care Hospital
- Jamaica, NY
- NPI 1801803903
Internal Medicine
-
- Physical Therapist
- Rego Park, NY
- NPI 1639257868
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jamaica, NY
- NPI 1801803903
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703548800000",
"number": "1982993754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9932 66TH RD STE LE",
"city": "REGO PARK",
"state": "NY",
"postal_code": "113744405",
"telephone_number": "929-588-9800",
"fax_number": "929-376-0856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9932 66TH RD",
"city": "REGO PARK",
"state": "NY",
"postal_code": "113744462",
"telephone_number": "929-588-9800",
"fax_number": "929-376-0856"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YAKUBOV",
"first_name": "STANLEY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-01",
"last_updated": "2023-12-26",
"certification_date": "2023-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "276349",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NY",
"license": "276349",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rego Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; 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.