MRS. DELIA YAKUBOV (AGACNP-BC) – Nurse Practitioner, NPI 1043882095
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,515 NURSE PRACTITIONER in NJ
Provider Addresses for MRS. DELIA YAKUBOV (AGACNP-BC)
11 Overlook Rd Ste Ll101
Summit, NJ 079013577
Phone: (908) 522-5900
Fax: (908) 522-5544
Type: Location
PO BOX 416457
BOSTON, MA 022416457
Phone: (844) 362-1735
Fax: (973) 290-7495
Type: Mailing
1000 GALLOPING HILL RD STE 201
UNION, NJ 070837989
Phone: (908) 522-6400
Fax: (908) 964-2169
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 18 Open Payments records for all available years, with a total value of $1,043.
Total Amount is formed as General ($1,043) + Research ($0) + Ownership ($0) = $1,043.
Last reported payment date: 2024-10-07 • Largest payer in this snapshot: Solventum Corporation ($733).
Total Amount
$1,043
General + Research + Ownership
Payments
18
Total payment records
General Amount
$1,043
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Solventum Corporation | $733 |
| Smith+Nephew, Inc. | $144 |
| Integra LifeSciences Corporation | $129 |
| Hydrofera LLC | $20 |
| Tactile Systems Technology Inc | $18 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2021-11-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20211102000807 | I | Nurse Practitioner | NJ | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 158 | 48 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 99 | 60 | $0 |
| 97597 | Removal of tissue from wound, 20.0 sq cm or less | 36 | 25 | $0 |
Insurance plans in this area (ZIP 07901)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NY | |
| - | MA | |
| Internal Medicine | MA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | PA | |
| - | NJ | |
| P S Y C H I A T R Y | NJ | |
| U R O L O G Y | NC | |
| Nurse Practitioner | NJ | |
| Internal Medicine | MA | |
| Nurse Practitioner | NJ |
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