JEA SUB SONG
NPI 1942682174
Chiropractor in Ellicott City, MD

Q: What is Jea Sub Song's NPI number?

The NPI number for Jea Sub Song is 1942682174. It was assigned to this individual provider in the NPPES registry on June 24, 2015.

Q: What is Jea Sub Song's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Q: When was this NPI record last updated?

The NPPES record for Jea Sub Song was last updated on January 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since June 24, 2015Accepts Medicare Assignment

3460 ELLICOTT CENTER DR STE 102, ELLICOTT CITY, MD 21043(410) 465-3074 Get Directions Write a Review

NPPES record last updated: January 4, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jea Sub Song NPPES

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

JEA SUB SONG (NPI 1942682174) is an individual chiropractor in Ellicott City, Maryland, licensed in Maryland (S03824) and active in the NPI registry since June 2015. He maintains a secondary practice location in Columbia and is a graduate of Life Chiropractic College (2007).

NPPES Registry Identity

NPI1942682174

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameJEA SUB SONG

Location Address3460 ELLICOTT CENTER DR STE 102Ellicott City, MD 21043

Mailing Address10414 Braddock Run RdMiddle River, MD 21220-1931 · (443) 301-3191 · Fax (410) 220-0661

Phone(410) 465-3074

Sole ProprietorNo

Medical School CMSLife Chiropractic CollegeGraduated 2007

Enumeration DateJune 24, 2015

Last NPPES UpdateJanuary 4, 2019

✔ NPI 1942682174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in MD · S03824

Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Also ListedAcupuncturistTaxonomy 171100000X · License U02569 (MD)

3460 ELLICOTT CENTER DR STE 102, Ellicott City, MD 21043

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Secondary Practice Location 1

Location 19192 Red Branch Rd Ste 200Columbia, MD 21045-2082 · Phone (410) 418-9000 · Fax (443) 914-2377

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jea Sub Song is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5496061434

PECOS Enrollment IDI20150904001727

Other Providers at the Same Location NPPES 2

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

MERCY HEALTH SOLUTIONS LLC

Acupuncturist

3460 ELLICOTT CENTER DR STE 102
ELLICOTT CITY, MD 21043

Howard County (410) 465-3074

MERCY HEALTH SOLUTIONS LLC

Chiropractor

3460 ELLICOTT CENTER DR STE 102
ELLICOTT CITY, MD 21043

Howard County (410) 465-3074

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 Jea Sub Song's NPI number?

The NPI number for Jea Sub Song is 1942682174. It was assigned to this individual provider in the NPPES registry on June 24, 2015.

Where is Jea Sub Song located?

Jea Sub Song practices at 3460 Ellicott Center Dr Ste 102, Ellicott City, MD 21043. The listed phone number is (410) 465-3074.

What is Jea Sub Song's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Jea Sub Song enrolled in Medicare?

Yes. Jea Sub Song is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jea Sub Song was last updated on January 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.