Organization Active NPI

Youn and Mannan LLC

  • Pediatrics Physician
  • Glen Burnie, MD
National Provider Identifier
1275560732
Registry record updated Jan 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
D56044 Issued in MD
Legal business name
YOUN AND MANNAN LLC
Practice address
1410 Crain Highway North
Unit 5a
Glen Burnie, MD 21061
Phone
(410) 761-1424
Fax
(410) 761-0301
NPI assigned
Jun 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2012

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

Authorized official

Name
Young Joo Youn, MDNPI 1629008743
Title
Partner
Phone
(410) 761-1424

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X D56044 MD Primary

Addresses

Primary practice location

1410 Crain Highway North
Unit 5a
Glen Burnie, MD 21061

Mailing address

1410 Crain Highway North
Unit 5a
Glen Burnie, MD 21061
Phone (410) 761-1424

Other identifiers 1

IdentifierTypeStateIssuer
787931800MedicaidMD

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D0669876Youn and Mannan LLC1410 Crain Hwy Unit 5 a, Glen Burnie, MD 21061Certificate of waiverMar 15, 2028

National Provider Directory

National Provider Directory

Locations

1410 Crain Hwy N
Glen Burnie, MD 21061
Phone (410) 553-4450

1410 Crain Hwy N
Ste 5A
Glen Burnie, MD 21061
Phone (410) 761-1424

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327968000000",
    "number": "1275560732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 CRAIN HIGHWAY NORTH",
            "address_2": "UNIT 5A",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "21061",
            "telephone_number": "410-761-1424",
            "fax_number": "410-761-0301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 CRAIN HIGHWAY NORTH",
            "address_2": "UNIT 5A",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "21061",
            "telephone_number": "410-761-1424",
            "fax_number": "410-761-0301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUN AND MANNAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-28",
        "last_updated": "2012-01-31",
        "status": "A",
        "authorized_official_last_name": "YOUN",
        "authorized_official_first_name": "YOUNG",
        "authorized_official_middle_name": "JOO",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "410-761-1424",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D56044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "787931800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.