Active NPI
Jennifer Lee Young, M.D., MPH
- Pediatrics Physician
- Gaithersburg, MD
National Provider Identifier
1225298664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- D0069199
- Practice address
- 555 Quince Orchard Road
Suite 350
Gaithersburg, MD 20878 - Phone
- (301) 926-3633
- Fax
- (301) 948-9884
- NPI assigned
- Jun 10, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | D0069199 | MD | Primary |
Addresses
Primary practice location
555 Quince Orchard Road
Suite 350
Gaithersburg, MD 20878
Mailing address
10801 Lockwood Dr
Suite 325
Silver Spring, MD 20901-1556
Phone (301) 754-3050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 419026200 | Medicaid | MD |
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0069199 | MD | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Childrens Pediatricians & Assoc | Pediatrics | Past | Accepting new patients |
| Children's Pediatricians & Associates, LLC | Pediatrics | 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 and National Provider Directory roles.
-
- Pediatrics Physician
- Silver Spring, MD
- NPI 1396932687
-
dba Childrens National Pediatricians & Associates
- Pediatrics Physician
- Gaithersburg, MD
- NPI 1871307652
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341446400000",
"number": "1225298664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10801 LOCKWOOD DR",
"address_2": "SUITE 325",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209011556",
"telephone_number": "301-754-3050",
"fax_number": "301-681-0789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 QUINCE ORCHARD ROAD",
"address_2": "SUITE 350",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "20878",
"telephone_number": "301-926-3633",
"fax_number": "301-948-9884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "JENNIFER",
"middle_name": "LEE",
"credential": "M.D., MPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-10",
"last_updated": "2012-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MD",
"license": "D0069199",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "419026200",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gaithersburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.