Individual provider Active NPI

Tiffany Young, D.O

  • Obstetrics & Gynecology Physician
  • Brooklyn, NY
National Provider Identifier
1932365319
Registry record updated Dec 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
246323 Issued in NY
Practice address
1 Brookdale PLZ
Dept. of OB/GYN, Snapper RM 280
Brooklyn, NY 11212-3139
Phone
(718) 240-5000
Fax
(718) 240-6610
NPI assigned
Aug 5, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 246323 NY Primary

Addresses

Primary practice location

1 Brookdale PLZ
Dept. of OB/GYN, Snapper RM 280
Brooklyn, NY 11212-3139

Mailing address

1 Brookdale PLZ
Dept. of OB/GYN, Snapper RM 280
Brooklyn, NY 11212-3139
Phone (718) 240-5000

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
I20150130001716 NY Practitioner - Obstetrics/Gynecology 1850458407 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Brookdale Hospital Medical Center CurrentSince Oct 30, 2014 Accepting new patients
The Brookdale Hospital Medical Center CurrentSince Oct 30, 2014 Accepting new patients
Lourdes Medical Associates, PA Past Accepting new patients
Lourdes Medical Associates PA Obstetrics & Gynecology PastSince Jul 9, 2007 Accepting new patients

Locations

1235 Linden Blvd
Fl 2
Brooklyn, NY 11212
Phone (718) 240-7143

1 Brookdale Plz
#328
Brooklyn, NY 11212

1 Brookdale Plz
Rm 280
Brooklyn, NY 11212

Organizations & group practices 4

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": "1217894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418947200000",
    "number": "1932365319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BROOKDALE PLZ",
            "address_2": "DEPT. OF OB/GYN, SNAPPER RM 280",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112123139",
            "telephone_number": "718-240-5000",
            "fax_number": "718-240-6610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BROOKDALE PLZ",
            "address_2": "DEPT. OF OB/GYN, SNAPPER RM 280",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112123139",
            "telephone_number": "718-240-5000",
            "fax_number": "718-240-6610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "TIFFANY",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-05",
        "last_updated": "2014-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "246323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.