REGINA SEYUN SONG NP
NPI 1184961476
Nurse Practitioner - Adult Health in Commack, NY

Active since January 07, 2013PECOS Enrolled
500 COMMACK RD UNIT 160, COMMACK, NY 11725(631) 855-1200 Get Directions Write a Review

NPPES record last updated: April 11, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 11, 2022, Dec 20, 2018 (2 updates tracked since 2018).

About Regina Seyun Song Np NPPES

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

REGINA SEYUN SONG NP (NPI 1184961476) is an individual adult health provider in Commack, New York, licensed in New York (306161) and active in the NPI registry since January 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184961476
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameREGINA SEYUN SONGCredential: NP
Location Address500 COMMACK RD UNIT 160Commack, NY 11725-5009
Mailing Address500 Commack Rd Unit 160Commack, NY 11725-5009 · (631) 855-1200
Sole ProprietorNo
Enumeration DateJanuary 7, 2013
Last NPPES UpdateApril 11, 20222 updates tracked since enumeration
NPPES CertifiedApril 11, 2022
✔ NPI 1184961476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · 306161
Also ListedRegistered NurseTaxonomy 163W00000X · License 621379 (NY)
500 COMMACK RD UNIT 160, Commack, NY 11725

Other Names 1

Former Name (1)Seyun Song

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Regina Seyun Song Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Regina Song reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
119 NEW YORK AVE
Massapequa, NY 11758
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Mauro Gasparini MD PC
  • 5 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11725 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

Nurse Practitioner (Family)
500 COMMACK RD UNIT 160
COMMACK, NY 11725
Internal Medicine
500 COMMACK RD UNIT 160
COMMACK, NY 11725

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 Regina Song's NPI number?

The NPI number for Regina Song is 1184961476. It was assigned to this individual provider in the NPPES registry on January 7, 2013. The provider is also known as Seyun Song.

Where is Regina Song located?

Regina Song practices at 500 Commack Rd Unit 160, Commack, NY 11725. The listed phone number is (631) 855-1200.

What is Regina Song's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Regina Song enrolled in Medicare?

Yes. Regina Song is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Regina Song's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Regina Song reassigns Medicare benefits to Mauro Gasparini, M.D., P.C. (Massapequa, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Regina Song's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Regina Song was last updated on April 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.