Active NPI
Carolyn Te Young, MD
- Blood Banking & Transfusion Medicine Physician
- Cranston, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Blood Banking & Transfusion Medicine Physician
- License
- MD8912
- Practice address
- 1320 Narragansett Blvd
Cranston, RI 02905 - Phone
- (401) 443-6159
- NPI assigned
- Nov 27, 2018
- Last updated
- Mar 6, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Pathology/Laboratory Medicine Physician | 207ZP0105X | MD8912 | RI | |
| Blood Banking & Transfusion Medicine Physician | 207ZB0001X | MD8912 | RI | Primary |
| Blood Banking & Transfusion Medicine Physician | 207ZB0001X | 278133 | MA |
Addresses
Primary practice location
1320 Narragansett Blvd
Cranston, RI 02905
Mailing address
1320 Narragansett Blvd
Cranston, RI 02905-5142
Phone (401) 461-3006
Other practice location 1
164 Summit Ave
Providence, RI 02906-2853
Phone (401) 444-5057
Other practice location 2
593 Eddy Street
Apc 12
Providence, RI 02903-4923
Phone (401) 444-5057
Other practice location 3
55 Lake Ave N
Worcester, MA 01655-0002
Phone (508) 421-1950
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110169010A | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- University of Florida College of Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
55 Lake Ave N
Worcester, MA 01655-0002
Phone (508) 334-1000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD8912 | RI | MD | Clinical Pathology/Laboratory Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Umass Memorial Medical Group Inc | Current | Accepting new patients | |
| Umass Memorial Medical Group, Inc. | Current | Accepting new patients |
Locations
55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862
593 Eddy St
Providence, RI 02903
593 Eddy St
#12
Providence, RI 02903
Phone (401) 444-5057
593 Eddy St
Ste 9B
Providence, RI 02903
Phone (401) 444-5280
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.
-
- Internal Medicine Physician
- Worcester, MA
- NPI 1760445373
-
dba Urgent Care Express at Harrington
- Urgent Care Clinic/Center
- Oxford, MA
- NPI 1982381018
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Worcester, MA
- NPI 1831151455
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741219200000",
"number": "1891265443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1320 NARRAGANSETT BLVD",
"city": "CRANSTON",
"state": "RI",
"postal_code": "029055142",
"telephone_number": "401-461-3006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1320 NARRAGANSETT BLVD",
"city": "CRANSTON",
"state": "RI",
"postal_code": "02905",
"telephone_number": "401-443-6159"
}
],
"practiceLocations": [
{
"address_1": "164 Summit Ave",
"address_purpose": "LOCATION",
"city": "Providence",
"state": "RI",
"postal_code": "029062853",
"country_code": "US",
"telephone_number": "401-444-5057",
"fax_number": "401-444-8514",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "593 Eddy Street",
"address_2": "APC 12",
"address_purpose": "LOCATION",
"city": "Providence",
"state": "RI",
"postal_code": "029034923",
"country_code": "US",
"telephone_number": "401-444-5057",
"fax_number": "401-444-8514",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "55 Lake Ave N",
"address_purpose": "LOCATION",
"city": "Worcester",
"state": "MA",
"postal_code": "016550002",
"country_code": "US",
"telephone_number": "508-421-1950",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YOUNG",
"first_name": "CAROLYN",
"middle_name": "TE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-27",
"last_updated": "2025-03-06",
"certification_date": "2025-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0105X",
"taxonomy_group": "",
"desc": "Pathology, Clinical Pathology/Laboratory Medicine",
"state": "RI",
"license": "MD8912",
"primary": false
},
{
"code": "207ZB0001X",
"taxonomy_group": "",
"desc": "Pathology, Blood Banking & Transfusion Medicine",
"state": "RI",
"license": "MD8912",
"primary": true
},
{
"code": "207ZB0001X",
"taxonomy_group": "",
"desc": "Pathology, Blood Banking & Transfusion Medicine",
"state": "MA",
"license": "278133",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110169010A",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cranston, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.