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TERESA SONG MD
NPI 1679136790
Dermatology in New York, NY

Active since April 15, 2019PECOS Enrolled
12 E 87TH ST APT 1A, NEW YORK, NY 10128(212) 996-6900 Get Directions Write a Review

NPPES record last updated: December 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 10, 2025, Jun 8, 2020, Apr 15, 2019 (3 updates tracked since 2019).

About Teresa Song Md NPPES

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

TERESA SONG MD (NPI 1679136790) is an individual dermatology provider in New York, New York, licensed in New York (321001) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and is a graduate of State University Of New York Downstate Medical Center (2019).

NPPES Registry Identity

NPI1679136790
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameTERESA SONGCredential: MD
Location Address12 E 87TH ST APT 1ANew York, NY 10128-0501
Mailing Address12 E 87th St Apt 1aNew York, NY 10128-0501 · (212) 996-6900
Phone(212) 996-6900
Sole ProprietorYes
Medical School CMSState University Of New York Downstate Medical CenterGraduated 2019
Enumeration DateApril 15, 2019
Last NPPES UpdateDecember 10, 20253 updates tracked since enumeration
NPPES CertifiedDecember 10, 2025
✔ NPI 1679136790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in NY · 321001
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
12 E 87TH ST APT 1A, New York, NY 10128
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Teresa Song Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7618454844
PECOS Enrollment IDI20260120001519
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10128 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
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 3

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

ALEXANDRA SWEENEY NP
Nurse Practitioner (Family)
12 E 87TH ST APT 1A
NEW YORK, NY 10128
New York County (212) 996-6900
RACHEL ELIZABETH WESTBAY M.D.
Dermatology
12 E 87TH ST APT 1A
NEW YORK, NY 10128
New York County (212) 996-6900
JENNIFER WEISS P.A.
Physician Assistant (Surgical)
12 E 87TH ST APT 1A
NEW YORK, NY 10128
New York County (212) 996-6900

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 Teresa Song's NPI number?

The NPI number for Teresa Song is 1679136790. It was assigned to this individual provider in the NPPES registry on April 15, 2019.

Where is Teresa Song located?

Teresa Song practices at 12 E 87th St Apt 1A, New York, NY 10128. The listed phone number is (212) 996-6900.

What is Teresa Song's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Teresa Song enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Teresa Song was last updated on December 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.