Healthcare Provider Details

I. General information

NPI: 1093715369
Provider Name (Legal Business Name): STEVEN EUGENE YOUNG M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2005
Last Update Date: 08/18/2025
Certification Date: 08/18/2025
Deactivation Date: 03/21/2006
Reactivation Date: 03/27/2006

III. Provider practice location address

1200 US HIGHWAY 22 3RD FL
BRIDGEWATER NJ
08807-2943
US

IV. Provider business mailing address

629 CRANBURY RD FL 2
EAST BRUNSWICK NJ
08816-4096
US

V. Phone/Fax

Practice location:
  • Phone: 732-390-7750
  • Fax: 908-530-2929
Mailing address:
  • Phone: 732-390-7750
  • Fax: 732-390-7725

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberMA068062
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number25MA06806200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: