Individual provider Active NPI

Joseph K Youngerman, M.D.

  • Psychiatry Physician
  • Bronx, NY
National Provider Identifier
1861550899
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
60-109763 Issued in NY
Practice address
4690 Independence Ave
Bronx, NY 10471-3202
Phone
(718) 549-0455
Fax
(718) 239-3669
NPI assigned
Dec 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 60-109763 NY Primary
Child & Adolescent Psychiatry Physician 2084P0804X 60-109763 NY

Addresses

Primary practice location

4690 Independence Ave
Bronx, NY 10471-3202

Mailing address

4690 Independence Ave
Bronx, NY 10471-3202
Phone (718) 549-0455

Other identifiers 4

IdentifierTypeStateIssuer
0088466OtherNYGHI
144439OtherNYVALUE OPTION PROVIDER
25398OtherNYVALUE BEHAVIORAL HEALTH
P2097558OtherNYOXFORD HEALTH PLAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250611001596 NY Order and Referring Only - PsychiatryPractitioner - Psychiatry 7113090275

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
60-109763NYMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1861550899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4690 INDEPENDENCE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104713202",
            "telephone_number": "718-549-0455",
            "fax_number": "718-239-3669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4690 INDEPENDENCE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104713202",
            "telephone_number": "718-549-0455",
            "fax_number": "718-239-3669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNGERMAN",
        "first_name": "JOSEPH",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "60-109763",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "60-109763",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0088466",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTION PROVIDER",
            "identifier": "144439",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE BEHAVIORAL HEALTH",
            "identifier": "25398",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLAN",
            "identifier": "P2097558",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.