Active NPI
Benjamin James Young, DO
- General Practice Physician
- Plattsburgh, NY
National Provider Identifier
1144970765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 332978
- Practice address
- PO Box 56
Plattsburgh, NY 12901-0056 - Phone
- (518) 775-6903
- NPI assigned
- Mar 26, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 332978 | NY | Primary |
Addresses
Primary practice location
PO Box 56
Plattsburgh, NY 12901-0056
Mailing address
PO Box 56
Plattsburgh, NY 12901-0056
Phone (518) 775-6903
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 332978 | NY | MD | General Practice Physician |
Interoperability endpoints
- benjamin.young@719647455969284.direct.elationemr.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728345600000",
"number": "1144970765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 56",
"city": "PLATTSBURGH",
"state": "NY",
"postal_code": "129010056",
"telephone_number": "518-775-6903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 56",
"city": "PLATTSBURGH",
"state": "NY",
"postal_code": "129010056",
"telephone_number": "518-775-6903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "BENJAMIN",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-03-26",
"last_updated": "2024-10-08",
"certification_date": "2024-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NY",
"license": "332978",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plattsburgh, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.