Youthology Medical

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Legal business name

YOUTHOLOGY MEDICAL

Practice address

900 Walt Whitman Rd Ste 205
Melville, NY 11747-2215

Phone

(516) 817-6423

NPI assigned

Jan 12, 2026

Organization subpart

No

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

Authorized official

Name

Dr. Craig R Grobman, MD

Title

Medical Director

Phone

(516) 521-7486

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sarah Boujida, PA

  • Gastroenterology Physician
  • Port Jefferson Station, NY
  • NPI 1104409093
  NPD

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

{
    "created_epoch": "1768176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768176000000",
    "number": "1235097064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 WALT WHITMAN RD STE 205",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117472215",
            "telephone_number": "516-817-6423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 WALT WHITMAN RD STE 205",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117472215",
            "telephone_number": "516-817-6423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTHOLOGY MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-12",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A",
        "authorized_official_last_name": "GROBMAN",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "516-521-7486",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Young Adult Institute Inc.
• Julia Ruth Young-Sypher
• Candi Young
• Elizabeth Kathleen Young, MS OTR/L
• Kerrie Young
• Sally Yu
• Yy Wellcare Acupuncture P.C
• Laura Viviana Zabala Caycedo
• Casey Zaccagnino
• Bina Zaidi, LCSW

• Physician Assistant in Melville, NY
• Providers in Melville, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.