Diane Rita Maydick Youngberg, CNS

Primary specialty

Clinical Nurse SpecialistTaxonomy code 364S00000X

License

A271020-1 Issued in NY

Practice address

54 Valencia Ave
Staten Island, NY 10301-2024

Phone

(917) 208-0976

NPI assigned

Sep 5, 2025

Sex

Female

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

Certified Nurse Specialist

State licenses

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

{
    "created_epoch": "1757030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1912887399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 VALENCIA AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103012024",
            "telephone_number": "917-208-0976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 VALENCIA AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103012024",
            "telephone_number": "917-208-0976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYDICK YOUNGBERG",
        "first_name": "DIANE",
        "middle_name": "RITA",
        "credential": "CNS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-05",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "NY",
            "license": "A271020-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Nurse Specialist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Clinical Nurse Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; 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.