Active NPI
Debbie W Young
- Adult Health Nurse Practitioner
- Bay Shore, NY
National Provider Identifier
1730908583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- F311892
- Practice address
- 47 Rhodes Ave
Bay Shore, NY 11706-6613 - Phone
- (631) 894-2553
- NPI assigned
- Oct 8, 2024
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | F311892 | NY | Primary |
Addresses
Primary practice location
47 Rhodes Ave
Bay Shore, NY 11706-6613
Mailing address
47 Rhodes Ave
Bay Shore, NY 11706-6613
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F311892 | NY | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728345600000",
"number": "1730908583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47 RHODES AVE",
"city": "BAY SHORE",
"state": "NY",
"postal_code": "117066613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "47 RHODES AVE",
"city": "BAY SHORE",
"state": "NY",
"postal_code": "117066613",
"telephone_number": "631-894-2553"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "DEBBIE",
"middle_name": "W",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-08",
"last_updated": "2024-10-08",
"certification_date": "2024-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "F311892",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bay Shore, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; 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.