Active NPI
Estelle Irene Young, MD
- Dermatology Physician
- New York, NY
National Provider Identifier
1205897949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 112482
- Practice address
- 215 E 95TH St
New York, NY 10128-4077 - Phone
- (212) 996-8000
- Fax
- (212) 484-3578
- NPI assigned
- Mar 31, 2006
- Last updated
- May 2, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 112482 | NY | Primary |
Addresses
Primary practice location
215 E 95TH St
New York, NY 10128-4077
Mailing address
PO Box 20182
New York, NY 10021-0063
Phone (212) 249-5948
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 112482 | NY | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Cerebral Palsy Assoc of Nys Inc. | Past | Accepting new patients | |
| Commonwealth of Virginia Hiram W. Davis Medical Center | Past | Accepting new patients | |
| LHHN Medical, P.C. | Dermatology | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Manhattans Physicians Group / AdvantageCare Physicians
- Family Medicine Physician
- New York, NY
- NPI 1740222181
Dermatology
-
dba Cerebral Palsy of NYS
- Clinic/Center
- Brooklyn, NY
- NPI 1285799684
-
dba Hiram W. Davis Medical Center
- Hospitalist Physician
- Petersburg, VA
- NPI 1396809109
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209686400000",
"number": "1205897949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 20182",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100210063",
"telephone_number": "212-249-5948",
"fax_number": "212-249-5948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 E 95TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101284077",
"telephone_number": "212-996-8000",
"fax_number": "212-484-3578"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "ESTELLE",
"middle_name": "IRENE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-31",
"last_updated": "2008-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NY",
"license": "112482",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.