Active NPI
Jason Yuan-Kai Young, D.D.S.
- General Practice Dentistry
- Flushing, NY
National Provider Identifier
1154878767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 058781
- Practice address
- 13620 38TH Ave Ste 7E
Flushing, NY 11354-4232 - Phone
- (718) 886-3781
- NPI assigned
- Sep 1, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 Dentistry | 1223G0001X | 058781 | NY | Primary |
Addresses
Primary practice location
13620 38TH Ave Ste 7E
Flushing, NY 11354-4232
Mailing address
13620 38TH Ave Ste 7E
Flushing, NY 11354-4232
Phone (718) 886-3781
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 058781 | NY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brookdale Hospital Medical Center | Current | Accepting new patients | |
| Zenith Family Dental, PLLC | General Practice | Current | Accepting new patients |
| The Brookdale Hospital Medical Center | Current | Accepting new patients |
Locations
1235 Linden Blvd
Fl 2
Brooklyn, NY 11212
Phone (718) 240-7143
1 Brookdale Plz
Brooklyn, NY 11212
Phone (718) 240-5212
13620 38th Ave
Ste 7E
Flushing, NY 11354
Phone (718) 886-3781
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1720028772
-
- General Practice Dentistry
- Flushing, NY
- NPI 1851979306
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Brooklyn, NY
- NPI 1639756406
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626912000000",
"number": "1154878767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13620 38TH AVE STE 7E",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113544232",
"telephone_number": "718-886-3781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13620 38TH AVE STE 7E",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113544232",
"telephone_number": "718-886-3781"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "JASON",
"middle_name": "YUAN-KAI",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-09-01",
"last_updated": "2021-07-22",
"certification_date": "2021-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "058781",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.