Jennifer L Young, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

037361 Issued in CT

Practice address

784 E Main St
Branford, CT 06405-2918

Phone

(203) 481-7008

Fax

(203) 315-2712

NPI assigned

Jun 28, 2006

Last updated

Sep 25, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jenniferl.young.npi1730117938.phpct@direct.optumcare.masshiway.net

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.

• Connecticut Children's Specialty Group, Inc.

  • Pediatrics Physician
  • Hartford, CT
  • NPI 1669448882
  Medicare reassignment NPD
• Prohealth Physicians PC

  • Family Medicine Physician
  • Farmington, CT
  • NPI 1720194053

  Pediatrics

  Medicare reassignment NPD
• Connecticut Children's Specialty Group, Inc.

  • Ophthalmology Physician
  • Glastonbury, CT
  • NPI 1568056984

  Pediatrics

  NPD
• Branford Pediatrics & Allergy, P.C.

  • Allergy Physician
  • Branford, CT
  • NPI 1851411169
  NPD (past)
• Childrens Research Foundation of Cleveland

  • Pediatrics Physician
  • Cleveland, OH
  • NPI 1881634665
  NPD (past)

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222300800000",
    "number": "1730117938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 PAPER MILL DR",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064431908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "784 E MAIN ST",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064052918",
            "telephone_number": "203-481-7008",
            "fax_number": "203-315-2712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2008-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CT",
            "license": "037361",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00137361200",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wren Laboratories LLC
• WRH Mental Health Services, LLC
• Reza Yavari, M.D.
• Melissa Jayne Yetso, LCSW
• David Young, MD
• Youth Continuum
• Joseph Yu, MD
• Sergey Zasypayko, M.D
• Faina Zbarsky, OTR/L
• Karen A Zeigher, LCSW

• Pediatrics Physician in Branford, CT
• Providers in Branford, CT by specialty
• Pediatrics Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2008; 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.