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JACOB YACOBOV FNP
NPI 1639015480
Nurse Practitioner - Family in Rego Park, NY

Active since April 24, 2026PECOS Enrolled
6360 102ND ST APT A17, REGO PARK, NY 11374(718) 570-2457 Get Directions Write a Review

NPPES record last updated: April 24, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacob Yacobov Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACOB YACOBOV FNP (NPI 1639015480) is an individual family provider in Rego Park, New York, licensed in New York (3783754) and active in the NPI registry since April 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639015480
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJACOB YACOBOVCredential: FNP
Location Address6360 102ND ST APT A17Rego Park, NY 11374-2435
Mailing Address6360 102nd St Apt A17Rego Park, NY 11374-2435 · (718) 570-2457
Phone(718) 570-2457
Sole ProprietorNo
Enumeration DateApril 24, 2026
NPPES CertifiedApril 24, 2026
✔ NPI 1639015480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 3783754
6360 102ND ST APT A17, Rego Park, NY 11374
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacob Yacobov Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11374 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob Yacobov's NPI number?

The NPI number for Jacob Yacobov is 1639015480. It was assigned to this individual provider in the NPPES registry on April 24, 2026.

Where is Jacob Yacobov located?

Jacob Yacobov practices at 6360 102nd St Apt A17, Rego Park, NY 11374. The listed phone number is (718) 570-2457.

What is Jacob Yacobov's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jacob Yacobov enrolled in Medicare?

Yes. Jacob Yacobov is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacob Yacobov was last updated on April 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.