Active NPI
Youn and Mannan LLC
- Pediatrics Physician
- Glen Burnie, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- D56044
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Young Joo Youn, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 787931800 | Medicaid | MD |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 21D0669876 | Youn and Mannan LLC | Certificate of waiver | Mar 15, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pediatrics Physician
- Glen Burne, MD
- NPI 1629008743
-
- Pediatrics Physician
- Glen Burnie, MD
- NPI 1982668844
-
- Pediatric Nurse Practitioner
- Glen Burnie, MD
- NPI 1700567575
-
- Pediatric Nurse Practitioner
- Glen Burnie, MD
- NPI 1457184178
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.