Individual provider Active NPI

Molly Young, FNP

  • Family Nurse Practitioner
  • Kingston, NY
National Provider Identifier
1912565359
Registry record updated May 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
344013 Issued in NY
Practice address
40 Hurley Ave
Kingston, NY 12401-3739
Phone
(845) 338-5600
NPI assigned
May 31, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 344013 NY Primary

Addresses

Primary practice location

40 Hurley Ave
Kingston, NY 12401-3739

Mailing address

PO Box 2897
Kingston, NY 12402-2897
Phone (617) 797-7507

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190702002699 NY Practitioner - Nurse Practitioner 4587998091 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anderson Medical PC Dba Emergency OneGroup PAC ID 0648161653, 22 clinicians

Practice addresses (Care Compare)

40 Hurley Ave
Suite 4
Kingston, NY 12401-3738
Phone (845) 338-5600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
344013NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Anderson Medical P.C. Dba Emergency One CurrentSince Jun 3, 2019 Accepting new patients

Locations

40 Hurley Ave
Ste 4
Kingston, NY 12401
Phone (845) 338-5600

40 Hurley Ave
Saint Remy, NY 12401
Phone (845) 338-4777

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1559260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559260800000",
    "number": "1912565359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2897",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124022897",
            "telephone_number": "617-797-7507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 HURLEY AVE",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124013739",
            "telephone_number": "845-338-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "MOLLY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-31",
        "last_updated": "2019-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "344013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, NY

Sources for this page

Verify at the official NPI Registry.