Active NPI
Paula D Young I, M.D.
- Internal Medicine Physician
- Baldwin, NY
National Provider Identifier
1477508729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 178888
- Practice address
- 2280 Grand Ave
Suite 307
Baldwin, NY 11510-3164 - Phone
- (516) 398-0029
- Fax
- (516) 378-1045
- NPI assigned
- May 24, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 178888 | NY | Primary |
Addresses
Primary practice location
2280 Grand Ave
Suite 307
Baldwin, NY 11510-3164
Mailing address
2280 Grand Ave
Suite 307
Baldwin, NY 11510-3164
Phone (516) 398-0029
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01663161 | Medicaid | NY | |
| 2156275 | Other | AETNA | |
| 10779768 | Other | NY | CAQH |
| 30L87 | Other | NY | BCBS |
| 1423639 | Other | UNITEDHEALTHCARE | |
| P1959239 | Other | NY | OXFORD |
| 0007098316 | Other | AETNA LIFE INS CO |
Medicare participation
Medicare enrollment files- 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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20031106000687 | NY | Practitioner - General Practice | 7719890763 | Practice locations: Baldwin, NY; Valley Stream, NY |
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2280 Grand Ave
Suite 307
Baldwin, NY 11510-3138
Phone (516) 378-0880
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178888 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Long Island Jewish Medical Center | Past | Accepting new patients | |
| Roman Brushtein Medical PLLC | Internal Medicine | Past | Accepting new patients |
| County of Nassau County Controller | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- East Meadow, NY
- NPI 1033276662
-
- General Acute Care Hospital
- Valley Stream, NY
- NPI 1346603107
-
- Internal Medicine Physician
- Lynbrook, NY
- NPI 1952435182
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268956800000",
"number": "1477508729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2280 GRAND AVE",
"address_2": "SUITE 307",
"city": "BALDWIN",
"state": "NY",
"postal_code": "115103164",
"telephone_number": "516-398-0029",
"fax_number": "516-378-1045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2280 GRAND AVE",
"address_2": "SUITE 307",
"city": "BALDWIN",
"state": "NY",
"postal_code": "115103164",
"telephone_number": "516-398-0029",
"fax_number": "516-378-1045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "PAULA",
"middle_name": "D",
"name_prefix": "Dr.",
"name_suffix": "I",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-24",
"last_updated": "2010-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "178888",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01663161",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2156275",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "10779768",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "30L87",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITEDHEALTHCARE",
"identifier": "1423639",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P1959239",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA LIFE INS CO",
"identifier": "0007098316",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baldwin, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2010; 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.