KYUNG HEE SONG NP
NPI 1376878652
Nurse Practitioner in Patchogue, NY
About Kyung Hee Song Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KYUNG HEE SONG NP (NPI 1376878652) is an individual nurse practitioner in Patchogue, New York, licensed in New York (F305206) and active in the NPI registry since October 2009. She is enrolled in Medicare PECOS, is affiliated with Long Island Community Hospital, and maintains a secondary practice location in Malverne.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kyung Hee Song Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Kyung Hee Song reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Patchogue, NY 11772
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Brookhaven Memorial Hospital Medical Center Inc
- 89 clinicians in this Medicare group
Boynton Beach, FL 33426
- Reassigned Medicare billing, New York enrollment
- 2,450 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.
Areas of Expertise CMS Part B claims
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Long Island Community Hospital
Acute Care Hospitals · Patchogue, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11772 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PATCHOGUE, NY 11772
PATCHOGUE, NY 11772
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 Kyung Hee Song's NPI number?
The NPI number for Kyung Hee Song is 1376878652. It was assigned to this individual provider in the NPPES registry on October 5, 2009.
Where is Kyung Hee Song located?
Kyung Hee Song practices at 101 Hospital Rd, Patchogue, NY 11772. The listed phone number is (631) 654-7674.
What is Kyung Hee Song's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Kyung Hee Song enrolled in Medicare?
Yes. Kyung Hee Song is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Kyung Hee Song's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kyung Hee Song reassigns Medicare benefits to 2 organizations: Long Island Community Hospital At Nyu Langone Health (Patchogue, NY) and New York University (Boynton Beach, FL). Each 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 Kyung Hee Song's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Kyung Hee Song affiliated with any hospitals?
According to CMS data, Kyung Hee Song is affiliated with Long Island Community Hospital.
When was this NPI record last updated?
The NPPES record for Kyung Hee Song was last updated on June 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Kyung Hee Song, NP · NPI 1376878652
Nurse Practitioner physician in Patchogue, New York. Individual provider, active in the CMS NPPES registry since October 5, 2009.
## Identity
- **NPI:** 1376878652 (Entity type: Individual)
- **Enumerated:** October 5, 2009
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** F305206 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 101 HOSPITAL RD, Patchogue, NY 11772-4870
- **Phone:** (631) 654-7674 · **Fax:** (631) 447-3082
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Long Island Community Hospital At Nyu Langone Health (NPI 1053354100, Patchogue, NY); New York University (NPI 1285826438, Boynton Beach, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** June 29, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1376878652) · Data from the CMS NPPES public registry.