KYUNG HEE SONG NP
NPI 1376878652
Nurse Practitioner in Patchogue, NY

Q: 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.

Q: What is Kyung Hee Song's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: 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.

Active since October 05, 2009PECOS EnrolledAccepts Medicare Assignment

101 HOSPITAL RD, PATCHOGUE, NY 11772(631) 654-7674(631) 447-3082 Get Directions Write a Review

NPPES record last updated: June 29, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

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

NPI1376878652

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameKYUNG HEE SONGCredential: NP

Location Address101 HOSPITAL RDPatchogue, NY 11772-4870

Mailing Address101 Hospital RdPatchogue, NY 11772-4870 · (631) 654-7674 · Fax (631) 447-3082

Phone(631) 654-7674

Fax(631) 447-3082

Sole ProprietorYes

Medical School CMSOtherGraduated 2009

Enumeration DateOctober 5, 2009

Last NPPES UpdateJune 29, 2023

NPPES CertifiedJune 29, 2023

✔ NPI 1376878652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in NY · F305206

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

101 HOSPITAL RD, Patchogue, NY 11772

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Secondary Practice Location 1

Location 14 Weber AveMalverne, NY 11565-1742 · Phone (516) 612-3946 · Fax (516) 887-8106

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID9830362706

PECOS Enrollment IDI20111109000762

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.

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

24 services21 patients

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, NY

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330141

Location101 Hospital RoadPatchogue, NY 11772 · Suffolk County

Emergency services

Physician 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.

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 20

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

VAISHALI MEHTA MD

Internal Medicine (Critical Care Medicine)