Active NPI
Jill A Melendez Young, MD
- Nephrology Physician
- Nashua, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 220469
- Practice address
- 38 Tyler St
Nashua, NH 03060-2943 - Phone
- (603) 882-2921
- Fax
- (603) 882-0132
- NPI assigned
- Jun 8, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 14051 | NH | |
| Nephrology Physician | 207RN0300X | 220469 | MA | Primary |
| Nephrology Physician | 207RN0300X | 14051 | NH |
Addresses
Primary practice location
38 Tyler St
Nashua, NH 03060-2943
Mailing address
1493 Cambridge Street
Cambridge, MA 02139
Phone (617) 665-1552
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2065631 | Medicaid | MA | |
| 30207999 | Medicaid | NH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Southern Illinois University School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1493 Cambridge St
Cambridge, MA 02139-1047
Phone (617) 665-1000
300 Mount Auburn St
Cambridge, MA 02138-5600
Phone (617) 499-5055
330 Mount Auburn St
Cambridge, MA 02138-5502
57 Bedford St
Suite 130
Lexington, MA 02420-4543
Phone (781) 862-7500
Hospital & facility affiliations
- DaVita Northeast Cambridge Dialysis
- Mount Auburn Hospital
- Cambridge Health Alliance
- Beth Israel Deaconess Medical Center
- Winchester Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mount Auburn Professional Services Inc | Internal Medicine | Current | Accepting new patients |
| Mt Auburn Professional Services | Internal Medicine | Current | Accepting new patients |
| Cambridge Public Health Commission | Current | Accepting new patients | |
| Mt Auburn Prof Services | Past | Accepting new patients | |
| Cambridge Public Health Commission | Past | Accepting new patients |
Locations
300 Mount Auburn St
Ste 515
Cambridge, MA 02138
Phone (617) 665-1552
330 Mount Auburn St
Cambridge, MA 02138
Phone (617) 499-5054
1493 Cambridge St
Cambridge, MA 02139
Phone (617) 665-1185
103 Garland St
Everett, MA 02149
Phone (617) 381-7150
57 Bedford St
Ste 130
Lexington, MA 02420
Phone (781) 484-7500
Interoperability endpoints
- https://api.platform.athenahealth.com/86/brand/1/csg/1/fhir/r4
Organizations & group practices 5
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
- Cambridge, MA
- NPI 1932313228
-
- Internal Medicine Physician
- Cambridge, MA
- NPI 1992750996
-
- Internal Medicine Physician
- Cambridge, MA
- NPI 1013375203
-
- General Acute Care Hospital
- Cambridge, MA
- NPI 1487603585
-
- Sleep Disorder Diagnostic Clinic/Center
- Cambridge, MA
- NPI 1326202797
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Cambridge, MA
- NPI 1932168879
Dialysis facility
-
- General Acute Care Hospital
- Boston, MA
- NPI 1548202641
-
- General Acute Care Hospital
- Cambridge, MA
- NPI 1487603585
-
- General Acute Care Hospital
- Cambridge, MA
- NPI 1689670259
-
- General Acute Care Hospital
- Winchester, MA
- NPI 1790740777
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547510400000",
"number": "1184628158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1493 CAMBRIDGE STREET",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "02139",
"telephone_number": "617-665-1552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38 TYLER ST",
"city": "NASHUA",
"state": "NH",
"postal_code": "030602943",
"telephone_number": "603-882-2921",
"fax_number": "603-882-0132"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELENDEZ YOUNG",
"first_name": "JILL",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-08",
"last_updated": "2019-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NH",
"license": "14051",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "MA",
"license": "220469",
"primary": true
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "NH",
"license": "14051",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2065631",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30207999",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nashua, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2019; 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.