Individual provider Active NPI

Stephanie Anne Young, L.AC, DIPL. OM

  • Acupuncturist
  • Belmar, NJ
National Provider Identifier
1245530492
Registry record updated Mar 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
121001092 Issued in VA
Practice address
827 Belmar PLZ
Belmar, NJ 07719-2752
Phone
(619) 519-0694
NPI assigned
Oct 21, 2010
Last updated
Mar 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 25MZ00125700 NJ
Acupuncturist 171100000X 13883 CA
Acupuncturist 171100000X 121001092 VA Primary

Addresses

Primary practice location

827 Belmar PLZ
Belmar, NJ 07719-2752

Mailing address

591 Paseo Burga
Chula Vista, CA 91910-8068

Other practice location 1

2 Main St Ste 1
Bradley Beach, NJ 07720-1062
Phone (732) 538-7781

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

State licenses

LicenseStateTypeSpecialty
13883CAMDChiropractor
25MZ00125700NJMDAcupuncturist
121001092VAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1287619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678320000000",
    "number": "1245530492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "591 PASEO BURGA",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919108068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 BELMAR PLZ",
            "city": "BELMAR",
            "state": "NJ",
            "postal_code": "077192752",
            "telephone_number": "619-519-0694"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Main St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Bradley Beach",
            "state": "NJ",
            "postal_code": "077201062",
            "country_code": "US",
            "telephone_number": "732-538-7781",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "STEPHANIE",
        "middle_name": "ANNE",
        "credential": "L.AC, DIPL. OM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-21",
        "last_updated": "2023-03-09",
        "certification_date": "2023-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00125700",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "13883",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "VA",
            "license": "121001092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belmar, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; 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.