Organization Active NPI

Thomas E Young MD LLC

  • Family Medicine Physician
  • Allentown, PA
National Provider Identifier
1255352696
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD020773E Issued in PA
Legal business name
THOMAS E YOUNG MD LLC
Practice address
4825 W Tilghman St
Suite 101
Allentown, PA 18104-9322
Phone
(610) 706-0883
NPI assigned
Jul 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Thomas E Young, MD
Title
President
Phone
(610) 706-0883

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X MD020773E PA Primary

Addresses

Primary practice location

4825 W Tilghman St
Suite 101
Allentown, PA 18104-9322

Mailing address

1650 Valley Center Pkwy
Suite 100
Bethlehem, PA 18017-2344
Phone (484) 884-4436

Other identifiers 2

IdentifierTypeStateIssuer
1540038OtherPAIBC
DC9572OtherPARAILROAD MEDICARE

National Provider Directory

National Provider Directory
Tax ID family
Thomas E Young MD LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4825 W Tilghman St
Ste 101
Allentown, PA 18104
Phone (610) 706-0883

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255352696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 VALLEY CENTER PKWY",
            "address_2": "SUITE 100",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180172344",
            "telephone_number": "484-884-4436",
            "fax_number": "484-884-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4825 W TILGHMAN ST",
            "address_2": "SUITE 101",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181049322",
            "telephone_number": "610-706-0883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS E YOUNG MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-706-0883",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD020773E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC",
            "identifier": "1540038",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DC9572",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.