Active NPI
Michelle Young, M.D
- Family Medicine Physician
- Commack, NY
National Provider Identifier
1689751455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 182932
- Practice address
- 68 Hauppauge Rd
Commack, NY 11725-4403 - Phone
- (631) 715-2256
- Fax
- (631) 715-2902
- NPI assigned
- Nov 1, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 182932 | NY | Primary |
Addresses
Primary practice location
68 Hauppauge Rd
Commack, NY 11725-4403
Mailing address
29 Colby Dr
Dix Hills, NY 11746-8352
Phone (631) 486-2909
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 182932 | Other | NY | NYS MEDICAL LICENCE |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1689751455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 COLBY DR",
"city": "DIX HILLS",
"state": "NY",
"postal_code": "117468352",
"telephone_number": "631-486-2909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "68 HAUPPAUGE RD",
"city": "COMMACK",
"state": "NY",
"postal_code": "117254403",
"telephone_number": "631-715-2256",
"fax_number": "631-715-2902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "MICHELLE",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "182932",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYS MEDICAL LICENCE",
"identifier": "182932",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Commack, NY
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.