Individual provider Active NPI

Mary Jeanne Younge, R.N.

  • Infection Control Registered Nurse
  • Rochester, NY
National Provider Identifier
1780840090
Registry record updated Aug 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infection Control Registered NurseTaxonomy code 163WI0600X
License
486839-1 Issued in NY
Practice address
111 Westfall Rd
Room 150
Rochester, NY 14620-4647
Phone
(585) 753-5019
Fax
(585) 753-5033
NPI assigned
Aug 6, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infection Control Registered Nurse 163WI0600X 486839-1 NY Primary

Addresses

Primary practice location

111 Westfall Rd
Room 150
Rochester, NY 14620-4647

Mailing address

111 Westfall Rd
Room 150
Rochester, NY 14620-4647
Phone (585) 753-5019

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
486839-1NYMDInfection Control Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1217980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217980800000",
    "number": "1780840090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 WESTFALL RD",
            "address_2": "ROOM 150",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146204647",
            "telephone_number": "585-753-5019",
            "fax_number": "585-753-5033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 WESTFALL RD",
            "address_2": "ROOM 150",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146204647",
            "telephone_number": "585-753-5019",
            "fax_number": "585-753-5033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNGE",
        "first_name": "MARY",
        "middle_name": "JEANNE",
        "name_prefix": "Ms.",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-06",
        "last_updated": "2008-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WI0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infection Control",
            "state": "NY",
            "license": "486839-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.