Whitney M Young Jr. Health Center, Inc
NPI 1073960100 · Federally Qualified Health Center (FQHC) · Watervliet, NY
Enrolled with Medicare as Part a Provider - Federally Qualified Health Center (fqhc) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Whitney M Young Jr. Health Center, Inc is a Federally Qualified Health Center (FQHC) organization in Watervliet, NY (NPI 1073960100).
Provider details
- NPI number
- 1073960100
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mary Connolly, Cfo(518) 465-4771
Specialties & taxonomies
Ambulatory Health Care Facilities
- Dentist122300000X
Dental Providers
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- Whitney Young Health
Registry dates
- Enumerated
- 2016-05-18
- Last updated
- 2017-06-05
Frequently asked questions
- What is Whitney M Young Jr. Health Center, Inc's NPI number?
- Whitney M Young Jr. Health Center, Inc's National Provider Identifier (NPI) is 1073960100, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Whitney M Young Jr. Health Center, Inc?
- Whitney M Young Jr. Health Center, Inc is classified in the NPPES registry as Federally Qualified Health Center (FQHC) (Ambulatory Health Care Facilities).
- Where is Whitney M Young Jr. Health Center, Inc located?
- Whitney M Young Jr. Health Center, Inc's practice location on file with NPPES is 1804 2nd Ave, Watervliet, NY 12189-2818.
- What is Whitney M Young Jr. Health Center, Inc's phone number?
- The practice phone number listed in the NPPES registry for Whitney M Young Jr. Health Center, Inc is (518) 833-6900.
- Does Whitney M Young Jr. Health Center, Inc accept Medicare?
- Whitney M Young Jr. Health Center, Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Whitney M Young Jr. Health Center, Inc?
- The authorized official listed on Whitney M Young Jr. Health Center, Inc's NPPES record is Mary Connolly, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Whitney M Young Jr. Health Center, Inc's NPI active?
- Yes — Whitney M Young Jr. Health Center, Inc's NPI (1073960100) is active in the NPPES registry as of the last update on 2017-06-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.