DR. YOON SANG SONG DC
NPI 1952868804
Chiropractor in Philadelphia, PA
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
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Yoon Sang Song Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Yoon Sang Song reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Cherry Hill, NJ 08003
- Reassigned Medicare billing, New Jersey enrollment
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 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.
Which organization bills Medicare for Yoon Sang Song's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Yoon Sang Song reassigns Medicare benefits to Ideal Spine And Joint Chiropractic PC (Cherry Hill, NJ). The 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 Yoon Sang Song's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Dr. Yoon Sang Song, DC · NPI 1952868804
Chiropractor provider in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since February 27, 2019.
## Identity
- **NPI:** 1952868804 (Entity type: Individual)
- **Enumerated:** February 27, 2019
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** DC011458 (Pennsylvania)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 6115 WOODLAND AVE, Philadelphia, PA 19142-2418
- **Phone:** (215) 645-9200 · **Fax:** (267) 338-3303
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Ideal Spine And Joint Chiropractic PC (NPI 1578317103, Cherry Hill, NJ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** March 12, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1952868804) · Data from the CMS NPPES public registry.