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YOUTHOLOGY MEDICAL
NPI 1235097064
Physician Assistant in Melville, NY

Active since January 12, 2026
900 WALT WHITMAN RD STE 205, MELVILLE, NY 11747(516) 817-6423 Get Directions Write a Review

NPPES record last updated: January 12, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Youthology Medical NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

YOUTHOLOGY MEDICAL (NPI 1235097064) is a healthcare organization registered as a physician assistant in Melville, New York and active in the NPI registry since January 2026. The organization lists Craig R Grobman, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1235097064
Entity TypeOrganization
Primary Taxonomy363A00000X
Legal Business NameYOUTHOLOGY MEDICAL
Location Address900 WALT WHITMAN RD STE 205Melville, NY 11747-2215
Mailing Address900 Walt Whitman Rd Ste 205Melville, NY 11747-2215 · (516) 817-6423
Phone(516) 817-6423
Organization SubpartNo
Authorized OfficialCraig R GrobmanMedical Director · (516) 521-7486
Enumeration DateJanuary 12, 2026
NPPES CertifiedJanuary 12, 2026
✔ NPI 1235097064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
900 WALT WHITMAN RD STE 205, Melville, NY 11747
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Youthology Medical's NPI number?

The NPI number for Youthology Medical is 1235097064. It was assigned to this organization in the NPPES registry on January 12, 2026.

Where is Youthology Medical located?

Youthology Medical is located at 900 Walt Whitman Rd Ste 205, Melville, NY 11747. The listed phone number is (516) 817-6423.

What is Youthology Medical's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Youthology Medical was last updated on January 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.