Individual provider Active NPI

Franson Gin-Wah Young, MD

  • Internal Medicine Physician
  • Fresh Meadows, NY
National Provider Identifier
1558416651
Registry record updated Feb 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
146041 Issued in NY
Practice address
7570 197TH Street
Fresh Meadows, NY 11366-1817
Phone
(718) 465-4718
Fax
(718) 465-7042
NPI assigned
Jan 25, 2007
Last updated
Feb 27, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2010

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 146041 NY Primary

Addresses

Primary practice location

7570 197TH Street
Fresh Meadows, NY 11366-1817

Mailing address

7570 197TH Street
Fresh Meadows, NY 11366-1817
Phone (718) 465-4718

Other identifiers 1

IdentifierTypeStateIssuer
00606139MedicaidNY

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
146041NYMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267228800000",
    "number": "1558416651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7570 197TH STREET",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661817",
            "telephone_number": "718-465-4718",
            "fax_number": "718-465-7042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7570 197TH STREET",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661817",
            "telephone_number": "718-465-4718",
            "fax_number": "718-465-7042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "FRANSON",
        "middle_name": "GIN-WAH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2010-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "146041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00606139",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresh Meadows, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.