MAKEEN KHALIL YACOUB (NPI# 1457370561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457370561 |
| Entity Type | Individual |
| Full Name | MAKEEN KHALIL YACOUB |
| Credential | MDFRCS |
| Practice Address |
9 Grand Street Warwick NY 10990 |
| Mailing Address |
9 Grand Street Po Box 934 Warwick NY 10990 |
| Practice Telephone | 8459865121 |
| Practice Fax Number | 8459885131 |
| Mailing Telephone | 8459865121 |
| Mailing Fax Number | 8459885131 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207Q00000X | Family Medicine | 152366 | NY | Allopathic & Osteopathic Physicians |
| X | 208600000X | Surgery | 152366 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | CIGNA HMO | 5358892010 | 01 |
| NY | MULTIPEAN | P44374095 | 01 |
| NY | OXFORD | P462464 | 01 |
| NY | GHI | 0034259 | 01 |
| NJ | AETNA | 37414 | 01 |
| NY | 01055590 | 05 | |
| NY | AETNA | 4531177 | 01 |
| NY | UNITED HEALTHCARE | 738828 | 01 |
| NY | HUDSON HEALTH | 14867 | 01 |
| NY | AFFINITY | 1000015413 | 01 |
| NJ | AMERIGROUP | 10576 | 01 |
| NJ | CIGNA | 4531177 | 01 |
| NY | CIGNA | 5358892 | 01 |
| NY | HEALTH NET | 4C1598 | 01 |
| NJ | HEALTH NET | F04747 | 01 |
| NY | HIP | PIRS27858P | 01 |
| NY | AETNA HMO | 3010366 | 01 |
| Street Address |
9 GRAND STREET |
| City | WARWICK |
| State | NY |
| Zip Code | 10990 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750992079 | Trauma and Resiliency Resources, Inc. | Community/Behavioral Health | Winslow Therapeutic Center, 1433 Ny-17a, Warwick, NY 10990 | 2020-08-11 |
| 1881163921 | Warwick Reformed Church | Home Delivered Meals | 16 Maple Avenue, Warwick, NY 10990 | 2018-11-19 |
| 1821522400 | Lauren Weller | Behavior Technician | 103 Little York Road, Warwick, NY 10990 | 2017-04-20 |
| 1154726859 | Marie T Mars | Licensed Practical Nurse | 40 Marian Ct, Warwick, NY 10990 | 2014-10-24 |
| 1417383282 | Lawrence M Kamhi Md PC | Anesthesiology | 121 Village Green Court, Warwick, NY 10990 | 2013-09-24 |
| 1427491398 | Dynamic Therapy Inc | Early Intervention Provider Agency | 47 Homestead Village Drive, Warwick, NY 10990 | 2013-04-10 |
| 1033498381 | Needelia Davis | Registered Nurse | 15 Blue Spruce Trl, Warwick, NY 10990 | 2011-08-04 |
| 1255644803 | Joelle Rodriguez | Optometrist | 36 Ronald Reagan Blvd., Warwick, NY 10990 | 2010-07-23 |
| 1891027900 | Delna M Joseph | Licensed Practical Nurse | 20 Grand Street, Warwick, NY 10990 | 2010-02-01 |
| 1366689200 | Premiere Physical Therapy, PC | Physical Therapist | 56 Onderdonk Rd, Warick, NY 10990 | 2009-01-14 |
| Find all providers in zip 10990 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497253322 | Medi Health and Wellness, LLC | Family Medicine | 80 Lambert Lind Hwy, Warwick, RI 02886-1071 | 2018-01-25 |
| 1831418599 | Ariana Paula Bensusan | Family Medicine | 15 Health Ln # 2d, Warwick, RI 02886 | 2010-05-20 |
| 1396996534 | Totalhealth LLC | Family Medicine | 300 Toll Gate Rd Ste Ll1, Warwick, RI 02886-4448 | 2008-10-07 |
| 1750589719 | Edward F Asprinio | Family Medicine | 3246 W Shore Rd, Warwick, RI 02886-7560 | 2007-07-10 |
| 1073733911 | Wilhelmus Albert Vanhaaren | Family Medicine | 399 Algonquin Dr, Warwick, RI 02888-5535 | 2007-04-25 |
| 1689750044 | Lucille C Vega | Family Medicine | 962 Warwick Avenue, Warwick, RI 02888 | 2006-10-28 |
| 1881709616 | Joseph Anthony Grande | Family Medicine | 1243 Post Rd, Unit A, Warwick, RI 02888-3221 | 2006-08-20 |
| 1619991064 | Elisabeth K Farnum | Family Medicine | 215 Tall Gate Rd, Suite 104, Warwick, RI 02886 | 2006-07-27 |
| 1760419675 | Tej Varna Bansal | Family Medicine | 215 Tollgate Road, Suite 309 310, Warwick, RI 02886-4458 | 2006-06-27 |
| 1487694345 | Bon Secours Charity Health System Medical Group, P.C. | Family Medicine | 20 Grand St, 3rd Floor, Warwick, NY 10990-1035 | 2006-06-08 |
| Find all providers in WARWICK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.