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DR. MENA YACOUB D.O NPI 1003223835


NPI Information

NPI: 1003223835
Provider Name: DR. MENA YACOUB, D.O
Classification: Internal Medicine - 207RC0001X
Entity Type: Individual

Specialization: Clinical Cardiac Electrophysiology

PECOS Registration: Yes

Address:
100 PORT WASHINGTON BLVD
ROSLYN, NY
ZIP 11576
Phone: (718) 689-0316
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DR. Mena Yacoub, D.O is a clinical cardiac electrophysiology internal medicine in Roslyn, NY with 10 years of experience. The provider is a field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. DR. Mena Yacoub, D.O NPI is 1003223835. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: ROWAN UNIVERSITY SCHOOL OF OSTEOPATHIC MEDICINE
Graduation Year:2014

The provider's business location address is:

100 PORT WASHINGTON BLVD
ROSLYN, NY
ZIP 11576-347
Phone: (718) 689-0316

The NPI 1003223835 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/14/2014 and was last updated on 10/17/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208M00000XHospitalist306224NEW YORKNo
2390200000XStudent in an Organized Health Care Education/Training ProgramNo
3390200000XStudent in an Organized Health Care Education/Training Program640750326NEW YORKNo
4207RC0001XInternal MedicineClinical Cardiac Electrophysiology25MB00926100NEW JERSEYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.