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SERGE YAACOUB MD
NPI 1649114844
Student in an Organized Health Care Education/Training Program in Elmhurst, NY

Active since April 17, 2026
7901 BROADWAY, ELMHURST, NY 11373(844) 692-4692 Get Directions Write a Review

NPPES record last updated: April 17, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Serge Yaacoub Md NPPES

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

SERGE YAACOUB MD (NPI 1649114844) is an individual student in an organized health care education/training program in Elmhurst, New York and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1649114844
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSERGE YAACOUBCredential: MD
Location Address7901 BROADWAYElmhurst, NY 11373-1329
Mailing Address1250 9th St Nw Apt 509Washington, DC 20001-5194
Phone(844) 692-4692
Sole ProprietorYes
Enumeration DateApril 17, 2026
NPPES CertifiedApril 16, 2026
✔ NPI 1649114844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
7901 BROADWAY, Elmhurst, NY 11373
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. PAUL ADRIAN POWELL P.A
Physician Assistant
7901 BROADWAY
ELMHURST, NY 11373
Queens County (718) 334-4000
RUDRA PRADEEP KOUL MD
Internal Medicine (Pulmonary Disease)
7901 BROADWAY
ELMHURST, NY 11373
Queens County (718) 334-4000
CARLOS ANDRES PAREDES PONCE MD
Pediatrics
7901 BROADWAY
ELMHURST, NY 11373
Queens County (718) 334-3050
JOSH KLEINMUNTZ LCSW
Social Worker (Clinical)
7901 BROADWAY
ELMHURST, NY 11373
Queens County (718) 334-2650
AMELIA O'BRIEN LMSW
Social Worker
7901 BROADWAY
ELMHURST, NY 11373
Queens County (408) 838-0392
COLIN PAUL CARPENTER DO
Student in an Organized Health Care Education/Training Program
7901 BROADWAY
ELMHURST, NY 11373
Queens County (718) 334-4000
VANESSA GONZALEZ LMSW
Social Worker
7901 BROADWAY
ELMHURST, NY 11373
Queens County (718) 334-4630
SASHA AMEILIA KANDASAMMY
Physician Assistant (Surgical)
7901 BROADWAY
ELMHURST, NY 11373
Queens County (516) 849-2409

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 Serge Yaacoub's NPI number?

The NPI number for Serge Yaacoub is 1649114844. It was assigned to this individual provider in the NPPES registry on April 17, 2026.

Where is Serge Yaacoub located?

Serge Yaacoub practices at 7901 Broadway, Elmhurst, NY 11373. The listed phone number is (844) 692-4692.

What is Serge Yaacoub's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Serge Yaacoub was last updated on April 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.