SUSANA YAKUBOVA NPI 1740850692

NPI Information

  • NPI: 1740850692
  • Provider Name: SUSANA YAKUBOVA
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 78A N BOUNDARY RD
    JAMAICA, NY
    ZIP 11430
  • Phone: (718) 656-1245

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NPI Details

Susana Yakubova is a family nurse practitioner in Jamaica, NY. Susana Yakubova NPI is 1740850692. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

78A N BOUNDARY RD
JAMAICA, NY
ZIP 11430-820
Phone: (718) 656-1245

The enumeration date for this NPI number is 7/1/2021 and was last updated on 2/22/2022.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered Nurse741266NEW YORKNo
2363LF0000XNurse PractitionerFamilyF348521NEW YORKYes

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: 11/21/2025

NPI Synchronization or Removal

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