Mary Rose Young
Internal Medicine in Warwick, RI. Individual provider (NPI-1).
NPI number1962297564
StatusActive
Last updated in NPPESJun 18, 2025
Details
- NPI
- 1962297564
- Entity type
- Individual (NPI-1)
- Name
- Mary Rose Young
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 14, 2025
- Certification date
- Jun 18, 2025
- Last updated
- Jun 18, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · ORDER AND REFERRING ONLY - INTERNAL MEDICINE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | LP06634 | RI | Yes |
Practice location
455 Toll Gate RdWarwick, RI 02886-2759
Phone 401-737-7010
Mailing address
455 Toll Gate RdWarwick, RI 02886-2759
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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