Charlotte Karen Young, RN, APN,BC

Primary specialty

Enterostomal Therapy Registered NurseTaxonomy code 163WE0900X

License

NO4523900 Issued in NJ

Practice address

651 Willow Grove St
Hackettstown, NJ 07840-1799

Phone

(908) 441-1127

Fax

(908) 441-1411

NPI assigned

Dec 28, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist, Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• General Vascular Surgical Associates PA

  • Vascular Surgery Physician
  • Newark, NJ
  • NPI 1578620068
  NPD (past)

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639235211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 KILLDEER DR",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078403031",
            "telephone_number": "908-852-7730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 WILLOW GROVE ST",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078401799",
            "telephone_number": "908-441-1127",
            "fax_number": "908-441-1411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "CHARLOTTE",
        "middle_name": "KAREN",
        "name_prefix": "Ms.",
        "credential": "RN, APN,BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0900X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Enterostomal Therapy",
            "state": "NJ",
            "license": "NO4523900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebekah Woolery
• Daniel C Wu, MD
• Jason Jon Wu, D.O.
• Maria Bernadette Bahena Yballe, MD
• Sarah Elizabeth Yoscary, BCBA
• Youth Consultation Service, Inc
• Philip Yucht, PH.D., LCSW
• William E Zaccheo, DC
• Carolina Zamore
• Paula Zapata, LPC

• Registered Nurse in Hackettstown, NJ
• Providers in Hackettstown, NJ by specialty
• Registered Nurse in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.