DR. PAULA D YOUNG I M.D.
NPI 1477508729
Internal Medicine in Baldwin, NY

NPI Status: Active since May 24, 2006

Contact Information

2280 GRAND AVE
SUITE 307
BALDWIN, NY
ZIP 11510
Phone: (516) 398-0029
Fax: (516) 378-1045

Get Directions Write a Review

  • Individual
  • Female
  • Years of Experience 42
  • Internal Medicine
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About PAULA YOUNG

This page provides the complete NPI Profile along with additional information for Paula Young, an internist established in Baldwin, New York with a medical specialization in Internal Medicine and more than 42 years of experience. The healthcare provider is registered in the NPI registry with number 1477508729 assigned on May 2006. The practitioner's primary taxonomy code is 207R00000X with license number 178888 (NY). The provider is registered as an individual and her NPI record was last updated 15 years ago.

NPI
1477508729
Provider Name
DR. PAULA D YOUNG I M.D.
Gender
Female
Entity Type
Individual
Location Address
2280 GRAND AVE SUITE 307 BALDWIN, NY 11510
Location Phone
(516) 398-0029
Location Fax
(516) 378-1045
Mailing Address
2280 GRAND AVE SUITE 307 BALDWIN, NY 11510
Mailing Phone
(516) 398-0029
Mailing Fax
(516) 378-1045
Medical School Name
OTHER
Graduation Year
1984
Is Sole Proprietor?
Yes
Enumeration Date
05-24-2006
Last Update Date
03-19-2010
Code Navigator

An internist like Paula Young is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
License No.
178888
License State
NY
Taxonomy Description
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1423639OTHER (01)UNITEDHEALTHCARE
P1959239OTHER (01)NYOXFORD
2156275OTHER (01)AETNA
11-3449468OTHER (01)NYTIN
F49494MEDICARE UPIN (02)NY 
01663161MEDICAID (05)NY 
0007098316OTHER (01)AETNA LIFE INS CO
30L87OTHER (01)NYBCBS
10779768OTHER (01)NYCAQH
30L871MEDICARE ID-TYPE UNSPECIFIED (04)NY 

Medicare Participation & PECOS Enrollment Status

Paula Young is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Paula Young is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 7719890763

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20031106000687

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Follow-up hospital inpatient care per day, typically 25 minutes

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

This service was performed 189 times for 43 patients

Follow-up hospital inpatient care per day, typically 35 minutes

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

This service was performed 41 times for 13 patients

Hospital discharge day management, 30 minutes or less

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

This service was performed 39 times for 36 patients

Hospital discharge day management, more than 30 minutes

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

This service was performed 11 times for 11 patients

Initial hospital inpatient care per day, typically 50 minutes

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

This service was performed 35 times for 32 patients

Initial hospital inpatient care per day, typically 70 minutes

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

This service was performed 14 times for 14 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $38.57 for a new patient copayment and $29.4 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 11510 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $154.28
  • Minimum New Patient Price $67.4
  • Maximum New Patient Price $203.53
  • Average New Patient Copayment $38.57
  • Minimum New Patient Copayment $16.85
  • Maximum New Patient Copayment $50.88

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $117.62
  • Minimum Established Patient Price $21.66
  • Maximum Established Patient Price $164.45
  • Average Established Patient Copayment $29.4
  • Minimum Established Patient Copayment $5.41
  • Maximum Established Patient Copayment $41.11

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Paula Young is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
LONG ISLAND JEWISH MEDICAL CENTER270 - 05 76TH AVENUE
NEW HYDE PARK, NY 11040
(718) 470-7000Acute Care Hospitals

Reviews for DR. PAULA D YOUNG I M.D.

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1477508729
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
241471001674
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 4 + 7 + 1 + 0 + 0 + 1 + 6 + 7 + 4 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1477508729 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 19 providers are registered at the same or nearby location.

DENISE C PINEAU P.T.

Physical Therapist

2280 GRAND AVE
SUITE 205
BALDWIN, NY
ZIP 11510

(516) 223-5306

SONYA SHERON VENTOUR MD

Internal Medicine

(Gastroenterology)

2280 GRAND AVE
STE 303
BALDWIN, NY
ZIP 11510

(516) 771-4971

DR. PETER JOSEPH AJEMIAN MD

Orthopaedic Surgery

2280 GRAND AVE
SUITE 201A
BALDWIN, NY
ZIP 11510

(516) 536-6800

MR. ALFRED J LEWIS LCSW R

Social Worker

(Clinical)

2280 GRAND AVE
SUITE 312
BALDWIN, NY
ZIP 11510

(516) 884-7736

MADHULIKA GOYAL MD

Pediatrics

2280 GRAND AVE
SUITE 307
BALDWIN, NY
ZIP 11510

(516) 705-6218

BEVERLY S ADLER PH.D.

Psychologist

(Clinical)

2280 GRAND AVE
SUITE 312
BALDWIN, NY
ZIP 11510

(516) 378-6676

DR. DOUGLAS SCOTT MILMAN PH.D.

Counselor

(Addiction (Substance Use Disorder))

2280 GRAND AVE
SUITE206A
BALDWIN, NY
ZIP 11510

(516) 379-9561

PETER J AJEMIAN, MD, PC.

Specialist

2280 GRAND AVE
SUITE 201A
BALDWIN, NY
ZIP 11510

(516) 536-6800

ROBERT FISCH MD PC

Specialist

2280 GRAND AVE
SUITE 201A
BALDWIN, NY
ZIP 11510

(516) 255-0600

SOUTH SHORE FAMILY MEDICINE,PC

Family Medicine

(Adult Medicine)

2280 GRAND AVE
SUITE 208
BALDWIN, NY
ZIP 11510

(516) 623-4800

LONG ISLAND PSYCHIATRIC SERVICES P.C.

Psychiatry & Neurology

(Psychiatry)

2280 GRAND AVE
SUITE 207A
BALDWIN, NY
ZIP 11510

(516) 442-5151

SZYMON RYSZARD HYZAK M.D.

Psychiatry & Neurology

(Psychiatry)

2280 GRAND AVE
SUITE 309
BALDWIN, NY
ZIP 11510

(516) 442-5151

MRS. ELISA LINDA REISNER MSW,

Social Worker

(Clinical)

2280 GRAND AVE
BALDWIN, NY
ZIP 11510

(516) 817-8573

DR. BRET OSTRAGER DO

Family Medicine

2280 GRAND AVE
STE 208
BALDWIN, NY
ZIP 11510

(516) 623-4800

DR. SUSAN INA KANE DO

Family Medicine

2280 GRAND AVE
SUITE 208
BALDWIN, NY
ZIP 11510

(516) 623-4800

SOUTH SHORE ORTHODONTICS, LLC

Dentist

(Orthodontics and Dentofacial Orthopedics)

2280 GRAND AVE
SUITE 305
BALDWIN, NY
ZIP 11510

(516) 377-9818

XIAOYA WANG O.M.D., L.AC

Acupuncturist

2280 GRAND AVE
STE 203
BALDWIN, NY
ZIP 11510

(516) 965-6990

DR. SANJAY GOYAL M.D.

Internal Medicine

(Endocrinology, Diabetes & Metabolism)

2280 GRAND AVE
SUITE 307
BALDWIN, NY
ZIP 11510

(516) 378-3373

MR. CHARLES E COX LCSW

Social Worker

(Clinical)

2280 GRAND AVE
STE 310
BALDWIN, NY
ZIP 11510

(646) 265-9051

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477508729, enumerated as an "individual" on May 24, 2006.

The provider is located at 2280 GRAND AVE SUITE 307 BALDWIN, NY 11510 and the phone number is (516) 398-0029.

Internal Medicine with taxonomy code 207R00000X.

The provider might be accepting Accepts: Medicare, Medicaid, Oxford Health Plans, Aetna and. Please consult your insurance carrier or call the provider to verify.

Paula Young is affiliated with: LONG ISLAND JEWISH MEDICAL CENTER.