1. Home
  2. Directory
  3. New York
  4. New York New York
  5. Dentist
  6. NPI Profile

JAEMIN SONG
NPI 1497376560
Dentist - General Practice in New York, NY

Active since April 30, 2020
145 CANAL ST FL 2, NEW YORK, NY 10002(917) 388-3678 Get Directions Write a Review

NPPES record last updated: September 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 6, 2023, Aug 4, 2021 (2 updates tracked since 2021).

About Jaemin Song NPPES

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

JAEMIN SONG (NPI 1497376560) is an individual general practice provider in New York, New York, licensed in New York (062257) and active in the NPI registry since April 2020. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1497376560
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameJAEMIN SONG
Location Address145 CANAL ST FL 2New York, NY 10002-5033
Mailing Address2935 John F Kennedy Blvd Apt 610Jersey City, NJ 07306-3881
Phone(917) 388-3678
Sole ProprietorNo
Enumeration DateApril 30, 2020
Last NPPES UpdateSeptember 6, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 6, 2023
✔ NPI 1497376560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in NY · 062257✔ Licensed in MA · DN1858981
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
145 CANAL ST FL 2, New York, NY 10002
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1330 Martin Luther King BlvdBoston, MA 02119-1868 · Phone (617) 427-4242
Location 21775 Grand Concourse Fl 6, BronxCare Health Systems, Dept of DentistryBronx, NY 10453-8202 · Phone (718) 901-8410

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Humana.Insurance ›

Other Providers at the Same Location NPPES

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

BOWERY DENTAL
Dentist (General Practice)
145 CANAL ST FL 2
NEW YORK, NY 10002
New York County (917) 388-3678

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 Jaemin Song's NPI number?

The NPI number for Jaemin Song is 1497376560. It was assigned to this individual provider in the NPPES registry on April 30, 2020.

Where is Jaemin Song located?

Jaemin Song practices at 145 Canal St Fl 2, New York, NY 10002. The listed phone number is (917) 388-3678.

What is Jaemin Song's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Jaemin Song accept?

Health plans from Humana list Jaemin Song as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jaemin Song was last updated on September 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.