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IVY MEDICINE, PC
NPI 1932328168
Physical Medicine & Rehabilitation - Pain Medicine in Hauppauge, NY

Active since April 25, 2007
740 VETERANS HWY, SUITE 203, HAUPPAUGE, NY 11788(631) 673-1177(631) 489-7035 Get Directions Write a Review

NPPES record last updated: November 16, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ivy Medicine, Pc NPPES

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

IVY MEDICINE, PC (NPI 1932328168) is a healthcare organization registered as a pain medicine in Hauppauge, New York and active in the NPI registry since April 2007. The organization lists Sanghun Song, President, as its authorized official.

NPPES Registry Identity

NPI1932328168
Entity TypeOrganization
Primary Taxonomy2081P2900X
Legal Business NameIVY MEDICINE, PC
Location Address740 VETERANS HWY, SUITE 203Hauppauge, NY 11788-2329
Mailing AddressPo Box 2711Huntington Station, NY 11746-0559 · (631) 673-1177 · Fax (631) 489-7035
Phone(631) 673-1177
Fax(631) 489-7035
Organization SubpartNo
Authorized OfficialSanghun SongPresident · (631) 673-1177
Enumeration DateApril 25, 2007
Last NPPES UpdateNovember 16, 2007
✔ NPI 1932328168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P2900X
License✔ Licensed in NY · 208578
Definition
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
740 VETERANS HWY, Hauppauge, NY 11788
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Other Identifiers 1

Medicare PINWPP501NY

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 and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ivy Medicine, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Ivy Medicine, PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Sang Song, MD
Physical Medicine and Rehabilitation
NPI 1093702425
740 VETERANS HWY SUITE 203
Hauppauge, NY 11788
(631) 366-4474
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Ivy Medicine, PC's NPI number?

The NPI number for Ivy Medicine, PC is 1932328168. It was assigned to this organization in the NPPES registry on April 25, 2007.

Where is Ivy Medicine, PC located?

Ivy Medicine, PC is located at 740 Veterans Hwy Suite 203, Hauppauge, NY 11788. The listed phone number is (631) 673-1177.

What is Ivy Medicine, PC's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Is Ivy Medicine, PC enrolled in Medicare?

Yes. Ivy Medicine, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ivy Medicine, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Medicine and Rehabilitation) reassigns their Medicare billing to Ivy Medicine, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Ivy Medicine, PC was last updated on November 16, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.