Active NPI
Regina Youngman, NP
- Adult Health Nurse Practitioner
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- F305665-1
- Practice address
- 710 W 168TH St FL Ni9
New York, NY 10032-3726 - Phone
- (212) 305-1319
- NPI assigned
- May 9, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 001936 | CT | |
| Adult Health Nurse Practitioner | 363LA2200X | F305665-1 | NY | Primary |
Addresses
Primary practice location
710 W 168TH St FL Ni9
New York, NY 10032-3726
Mailing address
710 W 168TH St FL Ni9
New York, NY 10032-3726
Phone (212) 305-1319
Other practice location 1
24 Hospital Ave
Danbury, CT 06810-6077
Phone (203) 739-6662
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
24 Hospital Ave
Danbury, CT 06810-6099
Phone (203) 739-7118
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 305665 | NY | MD | Family Medicine Physician |
| 1936 | CT | MD | Physical Therapy Assistant |
| 001936 | CT | MD | Physician Assistant |
| F305665-1 | NY | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trustees of Columbia University in the City of New York | Current | Accepting new patients | |
| Nuvance Health Medical Practice CT, Inc. | Current | Accepting new patients | |
| Trustees of Columbia University in the City of New York | Current | Accepting new patients | |
| Trustees of Columbia University in the City of New York | Current | Accepting new patients | |
| Trustees of Columbia University in the City of New York | Current | Accepting new patients |
Locations
14 Research Dr
Bethel, CT 06801
24 Hospital Ave
Danbury, CT 06810
Phone (203) 739-7118
51 W 51st St
Ste 360
New York, NY 10019
Phone (212) 326-8415
710 W 168th St
#1125A
New York, NY 10032
Phone (212) 342-4437
622 W 168th St
New York, NY 10032
Phone (212) 305-4931
161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559
710 W 168th St
New York, NY 10032
Phone (212) 305-0217
710 W 168th St
Fl NI9
New York, NY 10032
Phone (212) 305-1319
Interoperability endpoints
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Danbury, CT
- NPI 1407898117
-
- Surgery Physician
- New York, NY
- NPI 1508266347
-
- Internal Medicine Physician
- Fort Lee, NJ
- NPI 1982993184
NY
-
- Anesthesiology Physician
- New York, NY
- NPI 1477068971
-
- Internal Medicine Physician
- New York, NY
- NPI 1699289488
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Danbury, CT
- NPI 1548293343
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595203200000",
"number": "1275825317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 W 168TH ST FL NI9",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100323726",
"telephone_number": "212-305-1319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 W 168TH ST FL NI9",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100323726",
"telephone_number": "212-305-1319"
}
],
"practiceLocations": [
{
"address_1": "24 Hospital Ave",
"address_purpose": "LOCATION",
"city": "Danbury",
"state": "CT",
"postal_code": "068106077",
"country_code": "US",
"telephone_number": "203-739-6662",
"fax_number": "203-739-8468",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YOUNGMAN",
"first_name": "REGINA",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-09",
"last_updated": "2020-07-20",
"certification_date": "2020-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "CT",
"license": "001936",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "F305665-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.