Kaitlin Young, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

25MP00417300 Issued in NJ

Practice address

629 Higgins Ave
Brielle, NJ 08730-1480

Phone

(732) 712-2300

Fax

(732) 456-6700

NPI assigned

Nov 8, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Eastpointe Medical LLCGroup PAC ID 4082096334, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EICGDD/Endpoint/EICGDD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Eastpointe Medical LLC

  • Internal Medicine Physician
  • Atlantic Highlands, NJ
  • NPI 1164168837

  NJ

  Medicare reassignment Care Compare group
• Iortho NJ LLC

  • Physical Medicine & Rehabilitation Physician
  • Atlantic Highlands, NJ
  • NPI 1346011947
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1478563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1073055083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 HOLLYWOOD DR",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087233388",
            "telephone_number": "718-483-1951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 HIGGINS AVE",
            "city": "BRIELLE",
            "state": "NJ",
            "postal_code": "087301480",
            "telephone_number": "732-712-2300",
            "fax_number": "732-456-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "KAITLIN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-08",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "25MP00417300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tumas Chiropractic Center
• Benjamin Tumas, DC
• John Joseph Tumas, D.C.
• Dylan A Wills, DPT
• Lanie Frances Wilt, LAC
• Devon Zapicchi, LPC
• John Michael Zayatz, PT

• All providers in Brielle, NJ
• Medical Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.