PHYLLIS YOUNG PA
NPI 1689785156
Physician Assistant - Medical in Newburgh, NY

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment
254 ROUTE 17K, SUITE 203, NEWBURGH, NY 12550(845) 913-7737(877) 291-6044 Get Directions Write a Review

NPPES record last updated: April 11, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Phyllis Young Pa NPPES

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

PHYLLIS YOUNG PA (NPI 1689785156) is an individual medical provider in Newburgh, New York, licensed in New York (003633) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1988).

NPPES Registry Identity

NPI1689785156
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NamePHYLLIS YOUNGCredential: PA
Location Address254 ROUTE 17K, SUITE 203Newburgh, NY 12550-8343
Mailing Address8 Rue De Vin DrMarlboro, NY 12542-5953 · (845) 913-7737 · Fax (877) 291-6044
Fax(877) 291-6044
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateAugust 31, 2006
Last NPPES UpdateApril 11, 2017
NPI 1689785156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses Licensed in NY · 003633 Licensed in CT · 002105 Licensed in NJ · 25MP00335300
254 ROUTE 17K, Newburgh, NY 12550

Other Identifiers 1

Medicare UPINS62731

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Phyllis Young Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2961459615
PECOS Enrollment IDI20250922003030
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
254 ROUTE 17K, SUITE 203
NEWBURGH, NY 12550
Massage Therapist
254 ROUTE 17K, SUITE 203
NEWBURGH, NY 12550
Chiropractor
254 ROUTE 17K, SUITE 304
NEWBURGH, NY 12550
Chiropractor
254 ROUTE 17K, SUITE 203
NEWBURGH, NY 12550
Massage Therapist
254 ROUTE 17K, SUITE 203
NEWBURGH, NY 12550
Chiropractor
254 ROUTE 17K, SUITE 203
NEWBURGH, NY 12550
Ophthalmology
254 ROUTE 17K, STE 204
NEWBURGH, NY 12550
Physician Assistant
254 ROUTE 17K
NEWBURGH, NY 12550

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 Phyllis Young's NPI number?

The NPI number for Phyllis Young is 1689785156. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Phyllis Young located?

Phyllis Young practices at 254 Route 17K Suite 203, Newburgh, NY 12550. The listed phone number is (845) 913-7737.

What is Phyllis Young's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Phyllis Young enrolled in Medicare?

Yes. Phyllis Young is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Phyllis Young was last updated on April 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.