1. Home
  2. Directory
  3. Pennsylvania
  4. Philadelphia
  5. Chiropractor
  6. NPI Profile

DR. YOON SANG SONG DC
NPI 1952868804
Chiropractor in Philadelphia, PA

Active since February 27, 2019
6115 WOODLAND AVE, PHILADELPHIA, PA 19142(215) 645-9200(267) 338-3303 Get Directions Write a Review

NPPES record last updated: March 12, 2019. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Apr 4, 2024, Mar 12, 2019 (2 updates tracked since 2019).

About Dr. Yoon Sang Song Dc NPPES

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

DR. YOON SANG SONG DC (NPI 1952868804) is an individual chiropractor in Philadelphia, Pennsylvania, licensed in Pennsylvania (DC011458) and active in the NPI registry since February 2019. He maintains a secondary practice location in Havertown and is a graduate of Other (2018).

NPPES Registry Identity

NPI1952868804
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. YOON SANG SONGCredential: DC
Location Address6115 WOODLAND AVEPhiladelphia, PA 19142-2418
Mailing Address525 W Chester Pike Ste 103aHavertown, PA 19083-4539 · (610) 789-3678 · Fax (610) 789-3679
Phone(215) 645-9200
Fax(267) 338-3303
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateFebruary 27, 2019
Last NPPES UpdateMarch 12, 20192 updates tracked since enumeration
✔ NPI 1952868804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in PA · DC011458
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.
6115 WOODLAND AVE, Philadelphia, PA 19142
Open in Google Maps ↗

Secondary Practice Location 1

Location 1525 W Chester Pike Ste 103AHavertown, PA 19083-4539 · Phone (610) 789-3678 · Fax (610) 789-3679

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Yoon Sang Song Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5496195976
PECOS Enrollment IDI20240501001431

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 Yoon Sang Song's NPI number?

The NPI number for Yoon Sang Song is 1952868804. It was assigned to this individual provider in the NPPES registry on February 27, 2019.

Where is Yoon Sang Song located?

Yoon Sang Song practices at 6115 Woodland Ave, Philadelphia, PA 19142. The listed phone number is (215) 645-9200.

What is Yoon Sang Song's specialty?

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

Is Yoon Sang Song enrolled in Medicare?

Yes. Yoon Sang Song is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Yoon Sang Song was last updated on March 12, 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.