SAMUEL SONG DO
NPI 1679415863
Student in an Organized Health Care Education/Training Program in Voorhees, NJ

Q: What is Samuel Song's NPI number?

The NPI number for Samuel Song is 1679415863. It was assigned to this individual provider in the NPPES registry on April 7, 2026.

Q: What is Samuel Song's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Samuel Song was last updated on April 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since April 07, 2026

443 LAUREL OAK RD STE 130, VOORHEES, NJ 08043(609) 820-9062 Get Directions Write a Review

NPPES record last updated: April 22, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 22, 2026, Apr 7, 2026 (2 updates tracked since 2026).

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About Samuel Song Do NPPES

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

SAMUEL SONG DO (NPI 1679415863) is an individual student in an organized health care education/training program in Voorhees, New Jersey and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1679415863

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameSAMUEL SONGCredential: DO

Location Address443 LAUREL OAK RD STE 130Voorhees, NJ 08043-4419

Mailing Address443 Laurel Oak Rd Ste 130Voorhees, NJ 08043-4419

Phone(609) 820-9062

Sole ProprietorYes

Enumeration DateApril 7, 2026

Last NPPES UpdateApril 22, 20262 updates tracked since enumeration

NPPES CertifiedApril 22, 2026

✔ NPI 1679415863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

443 LAUREL OAK RD STE 130, Voorhees, NJ 08043

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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.

SAHIL PATEL MD

Psychiatry & Neurology (Psychiatry)

443 LAUREL OAK RD STE 130
VOORHEES, NJ 08043

Camden County (856) 857-6920

FRANCES KOPEW CIESIELSKI LCSW

Social Worker (Clinical)

443 LAUREL OAK RD STE 130
KIRKWOOD, NJ 08043

Camden County (856) 857-6920

OMOTEZI WILSON APN

Nurse Practitioner (Psychiatric/Mental Health)

443 LAUREL OAK RD STE 130
VOORHEES, NJ 08043

Camden County (856) 857-6920

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 Samuel Song's NPI number?

The NPI number for Samuel Song is 1679415863. It was assigned to this individual provider in the NPPES registry on April 7, 2026.

Where is Samuel Song located?

Samuel Song practices at 443 Laurel Oak Rd Ste 130, Voorhees, NJ 08043. The listed phone number is (609) 820-9062.

What is Samuel Song's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Samuel Song was last updated on April 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.