Ivan Young, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

173998 Issued in NY

Practice address

395 Hudson St
GRD FLR
New York, NY 10014-3669

Phone

(212) 463-8605

Fax

(212) 463-8579

NPI assigned

May 9, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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

Practice roles

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.

• Llobet Medical Group PLLC

  • Internal Medicine Physician
  • Margaretville, NY
  • NPI 1417139346
  NPD (past)
• New York Diagnostic Center Inc.

  • Clinic/Center
  • New York, NY
  • NPI 1235102450
  NPD (past)
• New York Diagnostic Centers, Inc.

  • Internal Medicine Physician
  • Westhampton Beach, NY
  • NPI 1881610186
  NPD (past)

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

{
    "created_epoch": "1273363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273363200000",
    "number": "1801114384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 HUDSON ST",
            "address_2": "GROUND FLR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100143669",
            "telephone_number": "212-463-8605",
            "fax_number": "212-463-8579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 HUDSON ST",
            "address_2": "GRD FLR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100143669",
            "telephone_number": "212-463-8605",
            "fax_number": "212-463-8579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "IVAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-09",
        "last_updated": "2010-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "173998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glenn Young
• Gloria Young
• Healy Young, DDS
• Hillary Young, LMHC
• Ilisa R Young, PHD, RD, CDN
• Jade Young, MD
• James Fredrick Patrick Young Jr., LCSW
• James Jacob Young, MD PHD
• James W Young, MD
• Jamie K Young, NNP

• Family Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2010; 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.