Individual provider Active NPI

Alyssa Claire Youngman, APN

  • Adult Health Nurse Practitioner
  • Mendham, NJ
National Provider Identifier
1174091441
Registry record updated Oct 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NJ00868300 Issued in NJ
Practice address
19 E Main St Ste 1
Mendham, NJ 07945-1503
Phone
(973) 543-6505
NPI assigned
Nov 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 26NJ00868300 NJ Primary

Addresses

Primary practice location

19 E Main St Ste 1
Mendham, NJ 07945-1503

Mailing address

4 Cooper LN
Chester, NJ 07930-2635
Phone (215) 359-7883

Other practice location 1

100 Madison Ave
Morristown, NJ 07960-6136
Phone (979) 973-9715

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20190501001001 NJ Practitioner - Nurse Practitioner 4789926379 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Chester Medical Associates a Professional AssociationGroup PAC ID 1658563135, 2 clinicians

Practice addresses (Care Compare)

385 State Route 24
Suite 1C
Chester, NJ 07930-2908
Phone (908) 879-6277

Hospital & facility affiliations

  • Morristown Medical Center Hospital, Morristown, NJ, CCN 310015
  • Ahs Hospital Corp Hospital, Hackettstown, NJ, CCN 310115
  • Newton Medical Center Hospital, Newton, NJ, CCN 310028

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ00868300NJMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fellowship Village Inc. CurrentSince Jun 20, 2022 Accepting new patients
Chester Medical Associates a Professional Association CurrentSince Nov 25, 2024 Accepting new patients
Clare Medical of New Jersey LLC CurrentSince Mar 9, 2019 Accepting new patients
Mendham Medical Practice LLC CurrentSince Oct 20, 2019 Accepting new patients
Fellowship Senior Living, Inc. Adult Health CurrentSince Jun 20, 2022 Accepting new patients
Mendham Medical Group LLP PastSince Oct 20, 2019 Accepting new patients

Locations

8000 Fellowship Rd
Basking Ridge, NJ 07920
Phone (908) 580-3800

385 State Route 24
Ste 1C
Chester, NJ 07930
Phone (908) 879-6277

19 E Main St
Ste 1
Mendham, NJ 07945
Phone (973) 543-6505

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

137 High St
Ste 2A
Mount Holly, NJ 08060
Phone (609) 447-3442

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11700/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/19916/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1541376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571011200000",
    "number": "1174091441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 COOPER LN",
            "city": "CHESTER",
            "state": "NJ",
            "postal_code": "079302635",
            "telephone_number": "215-359-7883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 E MAIN ST STE 1",
            "city": "MENDHAM",
            "state": "NJ",
            "postal_code": "079451503",
            "telephone_number": "973-543-6505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Madison Ave",
            "address_purpose": "LOCATION",
            "city": "Morristown",
            "state": "NJ",
            "postal_code": "079606136",
            "country_code": "US",
            "telephone_number": "979-973-9715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNGMAN",
        "first_name": "ALYSSA",
        "middle_name": "CLAIRE",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-05",
        "last_updated": "2019-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00868300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mendham, NJ

Sources for this page

Verify at the official NPI Registry.