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LIJUN SONG MD PHD
NPI 1194700989
Rehabilitation Practitioner in New York, NY

Active since December 14, 2005PECOS Enrolled
39 EAST 20TH STREET, NEW YORK, NY 10003(212) 473-9155(212) 777-6522 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lijun Song Md Phd NPPES

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

LIJUN SONG MD PHD (NPI 1194700989) is an individual rehabilitation practitioner in New York, New York, licensed in New York (226051) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194700989
Entity TypeIndividualFemale
Primary Taxonomy225400000X
Provider Legal NameLIJUN SONGCredential: MD PHD
Location Address39 EAST 20TH STREETNew York, NY 10003
Mailing Address212 Collins AvenueWilliston Park, NY 11596 · (516) 294-0329 · Fax (516) 294-0329
Phone(212) 473-9155
Fax(212) 777-6522
Sole ProprietorNo
Enumeration DateDecember 14, 2005
Last NPPES UpdateJuly 8, 2007
✔ NPI 1194700989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
License✔ Licensed in NY · 226051
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
39 EAST 20TH STREET, New York, NY 10003
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Other Identifiers 3

Medicare ID-Type UnspecifiedH85366
Medicare UPINH85366
Medicaid02491358NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lijun Song Md Phd 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 Lijun Song reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Icahn School Of Medicine At Mount Sinai
5.4 mi
Obstetrics & Gynecology
7901 BROADWAY
Elmhurst, NY 11373
  • Reassigned Medicare billing, New York enrollment
  • 836 clinicians in this Medicare group
NPI 1578817540 (718) 334-1591

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

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 Lijun Song's NPI number?

The NPI number for Lijun Song is 1194700989. It was assigned to this individual provider in the NPPES registry on December 14, 2005.

Where is Lijun Song located?

Lijun Song practices at 39 East 20th Street, New York, NY 10003. The listed phone number is (212) 473-9155.

What is Lijun Song's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

Is Lijun Song enrolled in Medicare?

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

Which organization bills Medicare for Lijun Song's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lijun Song reassigns Medicare benefits to Icahn School Of Medicine At Mount Sinai (Elmhurst, 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 Lijun 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 Lijun Song was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.