Active NPI
Gretchen Camille Young, PA-C
- Physician Assistant
- Newton, MA
National Provider Identifier
1982751400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1722
- Practice address
- 2014 Washington St
Newton, MA 02462-1607 - Phone
- (617) 243-6040
- NPI assigned
- Jan 5, 2007
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1722 | MA | Primary |
Addresses
Primary practice location
2014 Washington St
Newton, MA 02462-1607
Mailing address
133 Webster St
Newton, MA 02465-1822
Phone (617) 359-9956
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1722 | MA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Newton Wellesley Hospital | Current | Accepting new patients | |
| Caritas Medical Group, Inc | Past | Accepting new patients |
Locations
2014 Washington St
Newtonville, MA 02462
Phone (617) 243-6000
Interoperability endpoints
- young.gretchen.nwh@direct.partners.masshiway.net
Organizations & group practices 5
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.
-
dba Circle Health Urgent Care Westford
- Urgent Care Clinic/Center
- Westford, MA
- NPI 1710392683
-
- Emergency Medicine Physician
- Newton, MA
- NPI 1346355526
-
- General Acute Care Hospital
- Newton, MA
- NPI 1952845521
-
- Emergency Medicine Physician
- Brighton, MA
- NPI 1902012511
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1982751400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "133 WEBSTER ST",
"city": "NEWTON",
"state": "MA",
"postal_code": "024651822",
"telephone_number": "617-359-9956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2014 WASHINGTON ST",
"city": "NEWTON",
"state": "MA",
"postal_code": "024621607",
"telephone_number": "617-243-6040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "GRETCHEN",
"middle_name": "CAMILLE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MA",
"license": "1722",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.