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DR. YI SONG
NPI 1962990564
Student in an Organized Health Care Education/Training Program in Brooklyn, NY

Active since April 29, 2018PECOS Enrolled
450 CLARKSON AVE # 40, BROOKLYN, NY 11203(718) 270-3302 Get Directions Write a Review

NPPES record last updated: July 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Yi Song NPPES

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

DR. YI SONG (NPI 1962990564) is an individual student in an organized health care education/training program in Brooklyn, New York and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Baltimore.

NPPES Registry Identity

NPI1962990564
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. YI SONG
Location Address450 CLARKSON AVE # 40Brooklyn, NY 11203-2012
Mailing Address6201 Greenleigh AveMiddle River, MD 21220-2004 · (410) 502-2037 · Fax (410) 500-4266
Phone(718) 270-3302
Sole ProprietorNo
Enumeration DateApril 29, 2018
Last NPPES UpdateJuly 25, 2025
NPPES CertifiedJuly 25, 2025
✔ NPI 1962990564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
450 CLARKSON AVE # 40, Brooklyn, NY 11203
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Secondary Practice Location 1

Location 11800 Orleans StBaltimore, MD 21287-0010 · Phone (410) 502-2037 · Fax (410) 955-0737

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. Yi Song is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

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

DR. RAM PRAKASH THIRUGNANASAMBANDAM
Student in an Organized Health Care Education/Training Program
450 CLARKSON AVE # 40
BROOKLYN, NY 11203
Kings County (718) 270-1953

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 Yi Song's NPI number?

The NPI number for Yi Song is 1962990564. It was assigned to this individual provider in the NPPES registry on April 29, 2018.

Where is Yi Song located?

Yi Song practices at 450 Clarkson Ave # 40, Brooklyn, NY 11203. The listed phone number is (718) 270-3302.

What is Yi Song's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Yi Song enrolled in Medicare?

Yes. Yi Song is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Yi Song was last updated on July 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.