JIYOUN SONG
NPI 1003347253
Nurse Practitioner - Acute Care in Flushing, NY
About Jiyoun Song NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JIYOUN SONG (NPI 1003347253) is an individual acute care provider in Flushing, New York, licensed in New York (431104) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jiyoun Song is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11354 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FLUSHING, NY 11354
FLUSHING, NY 11354
FLUSHING, NY 11354
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 Jiyoun Song's NPI number?
The NPI number for Jiyoun Song is 1003347253. It was assigned to this individual provider in the NPPES registry on March 21, 2017.
Where is Jiyoun Song located?
Jiyoun Song practices at 15408 Northern Blvd #2k, Flushing, NY 11354. The listed phone number is (718) 445-0200.
What is Jiyoun Song's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Jiyoun Song enrolled in Medicare?
Yes. Jiyoun Song is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jiyoun Song was last updated on March 21, 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.
# Jiyoun Song · NPI 1003347253
Acute Care physician in Flushing, New York. Individual provider, active in the CMS NPPES registry since March 21, 2017.
## Identity
- **NPI:** 1003347253 (Entity type: Individual)
- **Enumerated:** March 21, 2017
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 431104 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 15408 NORTHERN BLVD, #2K, Flushing, NY 11354-5040
- **Phone:** (718) 445-0200
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** March 21, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1003347253) · Data from the CMS NPPES public registry.