NPIMap

Organization Active NPI

Young Medical Spa

  • Medical Physician Assistant
  • Lansdale, PA
National Provider Identifier
1609314186
Registry record updated Feb 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA001192L Issued in PA
Legal business name
YOUNG MEDICAL SPA
Practice address
635 N Broad St
Lansdale, PA 19446-2316
Phone
(610) 715-3199
NPI assigned
Feb 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2017

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

Authorized official

Name
Lynn Charlotte Testaiuti
Title
Physician Assistant
Phone
(610) 715-3199

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AM0700X MA001192L PA Primary

Addresses

Primary practice location

635 N Broad St
Lansdale, PA 19446-2316

Mailing address

635 N Broad St
Lansdale, PA 19446-2316
Phone (610) 715-3199

National Provider Directory

National Provider Directory
Tax ID family
Thomas E Young MD LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

635 N Broad St
Lansdale, PA 19446
Phone (215) 855-4444

NPI Registry JSON

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

{
    "created_epoch": "1486339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486339200000",
    "number": "1609314186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 N BROAD ST",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194462316",
            "telephone_number": "610-715-3199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 N BROAD ST",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194462316",
            "telephone_number": "610-715-3199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG MEDICAL SPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-06",
        "last_updated": "2017-02-06",
        "status": "A",
        "authorized_official_last_name": "TESTAIUTI",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "CHARLOTTE",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "610-715-3199"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA001192L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansdale, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2017; 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.