S&G MEDICAL OFFICE, PC
NPI 1699900332
General Practice in New York, NY

Active since May 26, 2009CLIA 33D1037769 · Waiver
39 EAST BROADWAY, SUITE 603, NEW YORK, NY 10002(212) 233-2078(212) 233-2079 Get Directions Write a Review

NPPES record last updated: May 26, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About S&g Medical Office, Pc NPPES

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

S&G MEDICAL OFFICE, PC (NPI 1699900332) is a healthcare organization registered as a general practice in New York, New York and active in the NPI registry since May 2009. The organization holds a CLIA Waiver certificate valid through March 3, 2027 and lists Min Song, President, as its authorized official.

NPPES Registry Identity

NPI1699900332
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameS&G MEDICAL OFFICE, PC
Location Address39 EAST BROADWAY, SUITE 603New York, NY 10002
Mailing Address39 East Broadway, Suite 603New York, NY 10002 · (212) 233-2078 · Fax (212) 233-2079
Fax(212) 233-2079
Organization SubpartNo
Authorized OfficialMin SongPresident · (212) 233-2078
Enumeration DateMay 26, 2009
NPI 1699900332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in NY · 214737
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

39 EAST BROADWAY, New York, NY 10002

Other Identifiers 2

Medicaid01991455NY
Medicare UPINH18445NY

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D1037769

S&g Medical Office PC · New York, NY
Active · expires Mar 3, 2027
CLIA Number33D1037769
Laboratory TypePhysician Office
Certificate Effective DateMarch 4, 2025
Certificate Expiration DateMarch 3, 2027
Laboratory DirectorDr. Min Song
Laboratory Phone(212) 233-2078
Laboratory LocationS&g Medical Office PC2 Allen Street, Unit - 3 C, New York, NY 10002
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699900332, enumerated as an "organization" on May 26, 2009.

The provider is located at 39 EAST BROADWAY SUITE 603 NEW YORK, NY 10002 and the phone number is (212) 233-2078.

General Practice with taxonomy code 208D00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.