Mena Yacoub, D.O
Mena Yacoub, D.O is a Clinical Cardiac Electrophysiology Physician in Roslyn, NY, registered under NPI 1003223835. This provider registers 3 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
Here is what surrounds this office in Roslyn, based on OpenStreetMap data collected Aug 31, 2026. Parking is available about 336 ft away. The nearest transit stop is 809 ft away, served by Port Washington Boulevard & Farmview Road.
Getting here and what is nearby
Parking 275 ft ~2 min
Parking 301 ft ~2 min
Parking 336 ft ~2 min
Transit Port Washington Boulevard @ St. Francis Hospital 469 ft ~2 min
Transit Port Washington Boulevard & Middle Neck Road 525 ft ~2 min
Transit Port Washington Boulevard & Farmview Road 809 ft ~4 min
Restaurant Benihana 0.46 mi ~10 min
2105 Northern Boulevard, Manhasset 11030
Restaurant Landmark Diner 0.48 mi ~10 min
Gas station Mobil 0.49 mi ~10 min
Restaurant LIMANI 0.49 mi ~10 min
1043 Northern Boulevard, Roslyn 11576
Grocery Whole Foods Market 0.49 mi ~10 min
2101 Northern Boulevard, Manhasset 11030
Mo-Su 08:00-21:00
Hotel Best Western - Roslyn, Long Island 0.51 mi ~11 min
Distances are straight‑line estimates — walking routes may be longer. Hours and phone numbers can change; call ahead to confirm.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 306224 | NY | Hospitalist Physician |
| 640750326 | NY | Student in an Organized Health Care… |
| 25MB00926100 | NJ | Clinical Cardiac Electrophysiology… primary |
Licences are recorded in 2 states: NY, NJ. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.
- Status
- Approved
- Provider type
- Practitioner - Cardiovascular Disease (cardiology)
- PAC ID
- 0143607663
Enrolled in Medicare 2 times, across 2 states:
| State | Enrollment ID | Provider type |
|---|---|---|
| New Jersey | I20220520002477 | Practitioner - Cardiovascular Disease (cardiology) |
| New York | I20221121001954 | Practitioner - Cardiac Electrophysiology |
Medicare enrolment is recorded as approved under the provider type Practitioner - Cardiovascular Disease (cardiology). There are 2 separate enrolment records across 2 states (NJ, NY). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
Licensed in 2 states
This provider holds licences in 2 states: New Jersey and New York. The practice address on file is in Roslyn, NY, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.
- Licence
- 25MB00926100
- Specialty
- Clinical Cardiac Electrophysiology…
- Licence
- 306224
- Specialty
- Hospitalist Physician
Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.
What Clinical Cardiac Electrophysiology covers
A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. NUCC Health Care Provider Taxonomy, code 207RC0001X
All registered taxonomy codes
This provider registers 4 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 208M00000X | Hospitalist Physician | 306224 | NY | |
| 390200000X | Student in an Organized Health Care Education/Training Program | — | — | |
| 390200000X | Student in an Organized Health Care Education/Training Program | 640750326 | NY | |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician Clinical Cardiac Electrophysiology | 25MB00926100 | NJ | primary |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1003223835 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Jul 14, 2014 |
| Last updated | Nov 3, 2023 |
| Status | Active |
| Sole proprietor | No |
| Gender | Male |
| Credential | D.O |
| Practice address |
100 PORT WASHINGTON BLVD Roslyn, NY 11576 (516) 562-6000 |
| Mailing address |
PO BOX 192 Port Washington, NY 11050 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 0 | 3 | 2 | 2 | 3 | 8 | 3 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 0 | 3 | 4 | 2 | 6 | 8 | 6 |
Sum = 55 · next multiple of 10 = 60 · check digit = 5 · actual last digit = 5
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.