LEV YAKUBOV (NPI# 1821032491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821032491 |
| Entity Type | Individual |
| Full Name | LEV YAKUBOV |
| Credential | PA |
| Practice Address |
56-45 Main Street Crt Surgical Associates, PC Flushing NY 11355-5045 |
| Practice Telephone | 7184450220 |
| Practice Fax Number | 7189391167 |
| Mailing Telephone | 7184450220 |
| Mailing Fax Number | 7189391167 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2011-03-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
'010126 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
010126 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
56-45 MAIN STREET CRT SURGICAL ASSOCIATES, PC |
| City | FLUSHING |
| State | NY |
| Zip Code | 11355-5045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457331613 | Rajeev Dayal | Surgery | 56-45 Main Street, Flushing, NY 11355-5045 | 2006-01-21 |
| 1265058184 | Joonsung Yeom | Student in an Organized Health Care Education/Training Program | 56-45 Main Street, Flushing, NY 11355 | 2020-06-17 |
| 1710508551 | Renato Rezende Savian | Student in an Organized Health Care Education/Training Program | 56-45 Main Street, New York Presbyterian Queens, Flushing, NY 11355 | 2020-05-04 |
| 1194346460 | Rehan Muhammad | Student in an Organized Health Care Education/Training Program | 56-45 Main Street, Flushing, NY 11355 | 2020-04-28 |
| 1861012668 | Omar Saab | Student in an Organized Health Care Education/Training Program | 56-45 Main Street, Flushing, NY 11355 | 2020-04-21 |
| 1700406733 | Diana Wang | Student in an Organized Health Care Education/Training Program | 56-45 Main Street, Flushing, NY 11355 | 2020-04-20 |
| 1205456555 | Vidhi V Rao | Student in an Organized Health Care Education/Training Program | 56-45 Main Street, Flushing, NY 11355-5045 | 2020-04-16 |
| 1639799919 | Tina Yang | Student in an Organized Health Care Education/Training Program | 56-45 Main Street, Flushing, NY 11355 | 2020-04-16 |
| 1386201259 | Steven Yann Shiuh Chen | Student in an Organized Health Care Education/Training Program | 56-45 Main Street, Flushing, NY 11355 | 2019-05-24 |
| 1982161345 | Anna Ploska | Physician Assistant | 56-45 Main Street, Flushing, NY 11355 | 2019-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588281364 | Antoinette Sanon | Registered Nurse | 42-49 Alban St, Flushing, NY 11355 | 2020-06-29 |
| 1336765353 | Jayesh Nakum | Physical Therapist | 43-32 Kissena Blvd, Apt # 15d, New York, NY 11355 | 2020-06-25 |
| 1417582990 | Royal Class Home Health Care Agency, Inc | Home Health | 143-26 41st Avenue 2nd Floor, Flushing, NY 11355 | 2020-03-05 |
| 1356972673 | Christine Samuel | Nurse Practitioner | Nyp Queens, 56-45 Main Street, Flushing, NY 11355 | 2020-01-27 |
| 1740842590 | Ji Nu Lee | Acupuncturist | 138 49 Barclay Ave. 6a, Flushing, NY 11355 | 2019-07-02 |
| 1386203990 | Paula Scharffenberg | Registered Nurse | 140-50 Poelar Ave, Queens, NM 11355 | 2019-06-07 |
| 1821655101 | Erin Cisney | Student in an Organized Health Care Education/Training Program | 5654 Main St, Flushing, NY 11355 | 2019-05-22 |
| 1356810063 | Sanjay Lodha Physician PC | Internal Medicine | 45 72 Parsons Lewis Blvd, Flushing, NY 11355 | 2018-11-26 |
| 1740756576 | Allday Pharmacy Inc | Pharmacy | 4199 Main St, Suite 202a, Flushing, NY 11355 | 2018-10-19 |
| 1477035806 | Xiaona Mo | Acupuncturist | 42-67 Saull St #b, Flushing, NY 11355 | 2018-09-01 |
| Find all providers in zip 11355 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154877397 | Kathleen Ming Liew | Physician Assistant | 44-65 Kissena Blvd., Apt 6g, Flushing, NY 11355 | 2016-08-28 |
| 1265801591 | George Davydov | Physician Assistant | 14130 70th Rd, Flushing, NY 11367-1937 | 2015-09-16 |
| 1225478597 | Christopher John Funfgeld | Physician Assistant | 10261 66th Rd, Attn: Surgery Department, Flushing, NY 11375 | 2013-07-01 |
| 1144577925 | Oded Haidatov | Physician Assistant | 14707a 77th Rd, Flushing, NY 11367-3428 | 2012-08-10 |
| 1356376834 | Sadyk Fayzulayev | Physician Assistant | 6739 Kissena Blvd, Suite 3 D, Flushing, NY 11367-1571 | 2006-07-12 |
| 1720521925 | Wahidullah Niazmand | Physician Assistant | 5645 Main St, Flushing, NY 11355-5045 | 2016-11-21 |
| 1578016903 | Randy Junjie He | Physician Assistant | 5645 Main St, Flushing, NY 11355-5045 | 2016-08-02 |
| 1558714998 | Christopher Lizardo | Physician Assistant | 56-45 Main St, Flushing, NY 11355 | 2016-07-21 |
| 1093108524 | Annalisa Tolentino | Physician Assistant | 5645 Main St, Flushing, NY 11355-5045 | 2015-03-09 |
| 1457757395 | Mariam Rashidzada | Physician Assistant | 5645 Main St, Flushing, NY 11355-5045 | 2014-11-04 |
| Find all providers in FLUSHING | ||||
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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.