NPIMap

Individual provider Active NPI

Melissa Garduno Young, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Freehold, NJ
National Provider Identifier
1831174739
Registry record updated Oct 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
MA72694 Issued in NJ
Practice address
555 Iron Bridge Rd
Suite 18
Freehold, NJ 07728-2975
Phone
(732) 409-6233
Fax
(732) 409-6414
NPI assigned
Dec 13, 2005
Last updated
Oct 22, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X MA72694 NJ Primary

Addresses

Primary practice location

555 Iron Bridge Rd
Suite 18
Freehold, NJ 07728-2975

Mailing address

555 Iron Bridge Rd
Suite 18
Freehold, NJ 07728-2975
Phone (732) 409-6233

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051026000912 NJ Practitioner - Endocrinology 0547287872 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

555 Iron Bridge Rd
Suite 18
Freehold, NJ 07728-2975
Phone (732) 409-6233

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.89 of 100Reported as individual
Quality
82.07
Improvement activities
40
Cost
73.53

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA72694NJMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mid Atlantic Diabetes and Endocrinology Associates, LLC Endocrinology, Diabetes & Metabolism CurrentSince Sep 14, 2009 Accepting new patients
Meridian Medical Associates P C Endocrinology, Diabetes & Metabolism Past Accepting new patients

Locations

555 Iron Bridge Rd
Ste 18
Freehold, NJ 07728
Phone (732) 409-6233

Interoperability endpoints

  • Direct secure messaging: myoung425561@direct.ahsys.org

Organizations & group practices 2

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256169600000",
    "number": "1831174739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 IRON BRIDGE RD",
            "address_2": "SUITE 18",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282975",
            "telephone_number": "732-409-6233",
            "fax_number": "732-409-6414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 IRON BRIDGE RD",
            "address_2": "SUITE 18",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282975",
            "telephone_number": "732-409-6233",
            "fax_number": "732-409-6414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "MELISSA",
        "middle_name": "GARDUNO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-13",
        "last_updated": "2009-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NJ",
            "license": "MA72694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

Verify at the official NPI Registry.