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SUSANA YAKUBOVA
NPI 1740850692
Nurse Practitioner - Family in Jamaica, NY

Active since July 01, 2021
78A N BOUNDARY RD, JAMAICA, NY 11430(718) 656-1245 Get Directions Write a Review

NPPES record last updated: February 22, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 22, 2022, Nov 23, 2021, Jul 1, 2021 (3 updates tracked since 2021).

About Susana Yakubova NPPES

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

SUSANA YAKUBOVA (NPI 1740850692) is an individual family provider in Jamaica, New York, licensed in New York (F348521) and active in the NPI registry since July 2021. She maintains a secondary practice location in Oakland Gardens.

NPPES Registry Identity

NPI1740850692
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSUSANA YAKUBOVA
Location Address78A N BOUNDARY RDJamaica, NY 11430-1820
Mailing Address7815 221st StOakland Gardens, NY 11364-3632 · (718) 908-7532
Phone(718) 656-1245
Sole ProprietorNo
Enumeration DateJuly 1, 2021
Last NPPES UpdateFebruary 22, 20223 updates tracked since enumeration
NPPES CertifiedFebruary 22, 2022
✔ NPI 1740850692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · F348521
Also ListedRegistered NurseTaxonomy 163W00000X · License 741266 (NY)
78A N BOUNDARY RD, Jamaica, NY 11430
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Secondary Practice Location 1

Location 17815 221st StOakland Gardens, NY 11364-3632 · Phone (718) 908-7532

Other Providers at the Same Location NPPES 6

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

XYRELL GOTIS PT
Physical Therapist
78A N BOUNDARY RD
JAMAICA, NY 11430
Queens County (718) 656-1245
NASSTASIJIA NOELIA PINTO
Nurse Practitioner (Family)
78A N BOUNDARY RD
JAMAICA, NY 11430
Queens County (718) 656-1245
STEPHANIE M NOVEMBRE
Nurse Practitioner (Family)
78A N BOUNDARY RD
JAMAICA, NY 11430
Queens County (718) 656-1245
ADA GARRES BATALUNA
Physical Therapist
78A N BOUNDARY RD
JAMAICA, NY 11430
Queens County (718) 656-1245
RADWA ELSHORBAGY
Physical Therapist
78A N BOUNDARY RD
JAMAICA, NY 11430
Queens County (347) 812-6986
MILGRACE JAMAICA DE GUZMAN VEGIGA
Physical Therapist
78A N BOUNDARY RD
JAMAICA, NY 11430
Queens County (718) 656-1245

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 Susana Yakubova's NPI number?

The NPI number for Susana Yakubova is 1740850692. It was assigned to this individual provider in the NPPES registry on July 1, 2021.

Where is Susana Yakubova located?

Susana Yakubova practices at 78A N Boundary Rd, Jamaica, NY 11430. The listed phone number is (718) 656-1245.

What is Susana Yakubova's specialty?

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

When was this NPI record last updated?

The NPPES record for Susana Yakubova was last updated on February 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.