Individual provider Active NPI

Jill Young, D.O.

  • Internal Medicine Physician
  • Lawrenceville, NJ
National Provider Identifier
1558398859
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MB07994000 Issued in NJ
Practice address
4056 Quakerbridge Rd
Suite 101
Lawrenceville, NJ 08648-4779
Phone
(609) 528-9150
Fax
(609) 528-9151
NPI assigned
Jun 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MB07994000 NJ Primary

Addresses

Primary practice location

4056 Quakerbridge Rd
Suite 101
Lawrenceville, NJ 08648-4779

Mailing address

4056 Quakerbridge Rd
Suite 101
Lawrenceville, NJ 08648-4779
Phone (609) 528-9150

Other identifiers 1

IdentifierTypeStateIssuer
0108766MedicaidNJ

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jill.young.1@12833.direct.athenahealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060824000419 NJ Practitioner - Family Practice 9830192285 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Pikeville, Kentucky College of Osteopathic Med, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Capital Health Medical GroupGroup PAC ID 7618264532, 442 clinicians

Practice addresses (Care Compare)

1 Capital Way
Pennington, NJ 08534-2520
Phone (609) 303-4244

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.91 of 100Reported as apm
Quality
79.42
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
25MB07994000NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Health Medical Group Internal Medicine CurrentSince Sep 13, 2016 Accepting new patients
Capital Health System PastSince Sep 13, 2016 Accepting new patients

Locations

3131 Princeton Pike
Bldg 5
Lawrenceville, NJ 08648
Phone (609) 844-9661

4056 Quakerbridge Rd
Ste 101
Lawrenceville, NJ 08648
Phone (609) 275-0487

1 Capital Way
Pennington, NJ 08534
Phone (609) 303-4000

1445 Whitehorse Mercerville Rd
Ste 103
Trenton, NJ 08619
Phone (609) 587-6661

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12833/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jill.young.1@12833.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1558398859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4056 QUAKERBRIDGE RD",
            "address_2": "SUITE 101",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086484779",
            "telephone_number": "609-528-9150",
            "fax_number": "609-528-9151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4056 QUAKERBRIDGE RD",
            "address_2": "SUITE 101",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086484779",
            "telephone_number": "609-528-9150",
            "fax_number": "609-528-9151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "JILL",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2025-09-11",
        "certification_date": "2021-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MB07994000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0108766",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jill.young.1@12833.direct.athenahealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4056 Quakerbridge Rd",
            "address_2": "SUITE 101",
            "city": "Lawrenceville",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "086484779",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lawrenceville, NJ

Sources for this page

Verify at the official NPI Registry.