John Gerald Young, M.D.

Primary specialty

Obesity Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084B0002X

License

112345-1 Issued in NY

Practice address

16 1/2 East 74TH St.
New York, NY 10021

Phone

(212) 472-1862

Fax

(212) 472-3858

NPI assigned

Apr 2, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1238630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238630400000",
    "number": "1790927929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 1/2 EAST 74TH ST.",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10021",
            "telephone_number": "212-472-1862",
            "fax_number": "212-472-3858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 1/2 EAST 74TH ST.",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10021",
            "telephone_number": "212-472-1862",
            "fax_number": "212-472-3858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "JOHN",
        "middle_name": "GERALD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-02",
        "last_updated": "2009-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084B0002X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Obesity Medicine",
            "state": "NY",
            "license": "112345-1",
            "primary": true
        },
        {
            "code": "2084B0002X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Obesity Medicine",
            "state": "CT",
            "license": "017358",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie K Young, NNP
• Jeffrey E Young, PH.D.
• Jessica Young, PA-C
• Jessyka Nicole Young, LMHC
• Joanna Young, PH.D
• John Joseph Young Jr., DDS
• Jonathan Brandon Young, MD
• Jonathan Christopher Young, MD
• Jordan Taylor Young, PMHNP
• Joseph A Young Jr., L.AC

• Obesity Medicine (Psychiatry & Neurology) Physician in New York, NY
• Providers in New York, NY by specialty
• Obesity Medicine (Psychiatry & Neurology) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2009; 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.