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Individual provider Active NPI

Anthony Fennell Young, NP

  • Adult Health Nurse Practitioner
  • Albertson, NY
National Provider Identifier
1689824609
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F311930-01 Issued in NY
Practice address
927 Willis Ave
Albertson, NY 11507-1924
Phone
(516) 271-0004
NPI assigned
Sep 26, 2008
Reactivated
Feb 14, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN163001 GA
Adult Health Nurse Practitioner 363LA2200X F311930-01 NY Primary

Addresses

Primary practice location

927 Willis Ave
Albertson, NY 11507-1924

Mailing address

2130 Adam Clayton Powell Jr Blvd Apt 5a
New York, NY 10027-3746
Phone (770) 843-9567

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250305001752 NY Practitioner - Nurse Practitioner 1658892724 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Calvary Hospital IncGroup PAC ID 9133010382, 50 clinicians

Practice addresses (Care Compare)

1740 Eastchester Rd
Bronx, NY 10461-2300
Phone (718) 518-2000

Hospital & facility affiliations

  • Montefiore Medical Center Hospital, Bronx, NY, CCN 330059
  • White Plains Hospital Center Hospital, White Plains, NY, CCN 330304
  • Lenox Hill Hospital Hospital, New York, NY, CCN 330119
  • New York-Presbyterian/Queens Hospital, Flushing, NY, CCN 330055
  • New York-Presbyterian Hospital Hospital, New York, NY, CCN 330101
  • Calvary Hospital Inc Long-term care hospital, Bronx, NY, CCN 332006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN163001GAMDRegistered Nurse
F311930-01NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bronx Medical Practice P.C. CurrentSince Dec 30, 2024 Accepting new patients
Essen Medical Associates, PC CurrentSince Dec 30, 2024 Accepting new patients
Calvary Hospital Inc CurrentSince Jun 30, 2025 Accepting new patients
Essen Medical Associates, PC CurrentSince Dec 30, 2024 Accepting new patients
Calvary Hospital Inc Current Accepting new patients
House Call Medical Services of New York, PLLC CurrentSince Dec 30, 2024 Accepting new patients

Locations

1740 Eastchester Rd
Bronx, NY 10461
Phone (718) 518-2000

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

Organizations & group practices 6

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 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1222387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1689824609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 ADAM CLAYTON POWELL JR BLVD APT 5A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100273746",
            "telephone_number": "770-843-9567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 WILLIS AVE",
            "city": "ALBERTSON",
            "state": "NY",
            "postal_code": "115071924",
            "telephone_number": "516-271-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "ANTHONY",
        "middle_name": "FENNELL",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-26",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "deactivation_date": "2024-10-03",
        "reactivation_date": "2025-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN163001",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F311930-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albertson, NY

Sources for this page

Verify at the official NPI Registry.