Abraham Mohammed Younoszai, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

0401413549 Issued in VA

Practice address

4379 Ridgewood Center Dr Ste 102
Woodbridge, VA 22192-8323

Phone

(703) 680-7950

NPI assigned

May 8, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Susquehanna River Valley Dental Health Clinic

  • Dentist
  • Sunbury, PA
  • NPI 1356677868
  NPD (past)

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

{
    "created_epoch": "1367971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1972948560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4379 RIDGEWOOD CENTER DR STE 102",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221928323",
            "telephone_number": "703-680-7950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4379 RIDGEWOOD CENTER DR STE 102",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221928323",
            "telephone_number": "703-680-7950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6031 Industrial Dr",
            "address_purpose": "LOCATION",
            "city": "Gloucester",
            "state": "VA",
            "postal_code": "230613767",
            "country_code": "US",
            "telephone_number": "804-642-9515",
            "fax_number": "804-684-3691",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "335 Market Street Suite 1",
            "address_purpose": "LOCATION",
            "city": "Sunbury",
            "state": "PA",
            "postal_code": "178013767",
            "country_code": "US",
            "telephone_number": "570-286-7500",
            "fax_number": "570-286-1524",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18849 Kings Hwy",
            "address_purpose": "LOCATION",
            "city": "Montross",
            "state": "VA",
            "postal_code": "22520",
            "country_code": "US",
            "telephone_number": "804-493-9999",
            "fax_number": "804-493-7140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNOSZAI",
        "first_name": "ABRAHAM",
        "middle_name": "MOHAMMED",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-08",
        "last_updated": "2022-07-21",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS041473",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401413549",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "61885",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Malik Anthony Youmans
• Gulrukh Younas
• Adele E Young, P.N.P., PHD
• Christi P Young, OT
• Jennifer Anne Youngblood, MA, LPC
• Hamza Yousafzai
• Abdul Wakil Yousofzai
• Ahmad Sameer Yousofzai
• Youth Outreach Services
• Deborah Jian Yuan

• Dentist in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.