Active NPI
Johntaisia Young
- Licensed Practical Nurse
- East Greenbush, NY
National Provider Identifier
1437031549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 353699
- Practice address
- 73A Troy Rd FL 1
East Greenbush, NY 12061-1310 - Phone
- (518) 449-1142
- NPI assigned
- Jul 22, 2025
- Last updated
- May 1, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 353699 | NY | Primary |
Addresses
Primary practice location
73A Troy Rd FL 1
East Greenbush, NY 12061-1310
Mailing address
2030 Hollywood Ave
Rotterdam, NY 12306-4214
Other practice location 1
2435 6th Ave
Troy, NY 12180-2227
Phone (518) 274-5143
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777593600000",
"number": "1437031549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2030 HOLLYWOOD AVE",
"city": "ROTTERDAM",
"state": "NY",
"postal_code": "123064214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "73A TROY RD FL 1",
"city": "EAST GREENBUSH",
"state": "NY",
"postal_code": "120611310",
"telephone_number": "518-449-1142"
}
],
"practiceLocations": [
{
"address_1": "2435 6th Ave",
"address_purpose": "LOCATION",
"city": "Troy",
"state": "NY",
"postal_code": "121802227",
"country_code": "US",
"telephone_number": "518-274-5143",
"fax_number": "518-273-1350",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YOUNG",
"first_name": "JOHNTAISIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-07-22",
"last_updated": "2026-05-01",
"certification_date": "2026-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "353699",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Greenbush, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.