Taylor Elizabeth Young, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

030951 Issued in NY

Practice address

510 S 4TH St Ste 600
Fulton, NY 13069-2952

Phone

(315) 598-4790

Fax

(315) 593-6195

NPI assigned

Jun 23, 2022

Last updated

Oct 20, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Suny Health Science Center at SyracuseGroup PAC ID 7214833086, 210 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University Hospital S U N Y Health Science Center Hospital, Syracuse, NY, CCN 330241

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tyoung164457@direct.upstate.edu

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Suny Health Science Center at Syracuse

  dba Upstate University Hospital

  • General Acute Care Hospital
  • Syracuse, NY
  • NPI 1184974529
  Medicare reassignment Care Compare group
• Northern Oswego County Health Services, Inc.

  dba ConnextCare

  • Community Health Clinic/Center
  • Pulaski, NY
  • NPI 1508850280
  Medicare reassignment NPD
• Suny Health Science Center at Syracuse

  dba Upstate Outpatient Pharmacy at Nappi

  • Pharmacy
  • Syracuse, NY
  • NPI 1306567474
  NPD
• Suny Health Science Center at Syracuse

  • General Acute Care Hospital
  • Syracuse, NY
  • NPI 1578554630
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Suny Health Science Center at Syracuse

  • General Acute Care Hospital
  • Syracuse, NY
  • NPI 1578554630
  Care Compare affiliation

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

{
    "created_epoch": "1655942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697760000000",
    "number": "1417688037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 DELANO ST",
            "city": "PULASKI",
            "state": "NY",
            "postal_code": "131421400",
            "telephone_number": "315-298-6564",
            "fax_number": "315-298-7831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 S 4TH ST STE 600",
            "city": "FULTON",
            "state": "NY",
            "postal_code": "130692952",
            "telephone_number": "315-598-4790",
            "fax_number": "315-593-6195"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26 Academy St",
            "address_purpose": "LOCATION",
            "city": "Mexico",
            "state": "NY",
            "postal_code": "131143010",
            "country_code": "US",
            "telephone_number": "315-963-8400 x4208",
            "fax_number": "315-630-3169",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "61 Delano St",
            "address_purpose": "LOCATION",
            "city": "Pulaski",
            "state": "NY",
            "postal_code": "131421400",
            "country_code": "US",
            "telephone_number": "315-298-6564",
            "fax_number": "315-298-7831",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Carlton Dr",
            "address_purpose": "LOCATION",
            "city": "Parish",
            "state": "NY",
            "postal_code": "131313308",
            "country_code": "US",
            "telephone_number": "315-625-4388",
            "fax_number": "315-625-4535",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 George St",
            "address_purpose": "LOCATION",
            "city": "Oswego",
            "state": "NY",
            "postal_code": "131263276",
            "country_code": "US",
            "telephone_number": "315-342-0880",
            "fax_number": "315-695-6195",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7 Bridge St",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "NY",
            "postal_code": "131351906",
            "country_code": "US",
            "telephone_number": "315-695-4700",
            "fax_number": "315-695-4706",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5856 Scenic Ave",
            "address_purpose": "LOCATION",
            "city": "Mexico",
            "state": "NY",
            "postal_code": "131143012",
            "country_code": "US",
            "telephone_number": "315-963-4133",
            "fax_number": "315-963-4960",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3045 East Ave Ste G400",
            "address_purpose": "LOCATION",
            "city": "Central Square",
            "state": "NY",
            "postal_code": "130362611",
            "country_code": "US",
            "telephone_number": "315-675-9200",
            "fax_number": "315-630-3168",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "124 Salisbury St",
            "address_purpose": "LOCATION",
            "city": "Sandy Creek",
            "state": "NY",
            "postal_code": "131457706",
            "country_code": "US",
            "telephone_number": "315-387-3620",
            "fax_number": "315-387-2912",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Hinman Rd",
            "address_purpose": "LOCATION",
            "city": "Pulaski",
            "state": "NY",
            "postal_code": "131422200",
            "country_code": "US",
            "telephone_number": "315-298-2570",
            "fax_number": "315-298-7457",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4624 Salina St",
            "address_purpose": "LOCATION",
            "city": "Pulaski",
            "state": "NY",
            "postal_code": "131422102",
            "country_code": "US",
            "telephone_number": "315-298-2696",
            "fax_number": "315-298-3460",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "640 County Route 22",
            "address_purpose": "LOCATION",
            "city": "Parish",
            "state": "NY",
            "postal_code": "131313339",
            "country_code": "US",
            "telephone_number": "315-625-5210",
            "fax_number": "315-625-7974",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "639 County Route 22",
            "address_purpose": "LOCATION",
            "city": "Parish",
            "state": "NY",
            "postal_code": "131313339",
            "country_code": "US",
            "telephone_number": "315-625-5213",
            "fax_number": "315-625-7974",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16 Fravor Rd",
            "address_purpose": "LOCATION",
            "city": "Mexico",
            "state": "NY",
            "postal_code": "131143011",
            "country_code": "US",
            "telephone_number": "315-963-8400 x4208",
            "fax_number": "315-630-3169",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "TAYLOR",
        "middle_name": "ELIZABETH",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-23",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "030951",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia E. Williams, R.D.
• Jeffrey David Wilson, PT
• Justine Witkovsky, REGISTERED NURSE
• Michelle Louise Yablonski, RN
• Cynthia J Young-Mayka, P.A.
• Amanda M Yousey
• Rebecca Anne Zenor
• Evelyn Zevallos
• Eda Zhang
• Shannon L. Zinn, FNP

• Medical Physician Assistant in Fulton, NY
• Providers in Fulton, NY by specialty
• Medical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2023; 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.

Verify at the official NPI Registry.