Song Physical Medicine, PC

Primary specialty

Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X

License

25MB07701500 Issued in NJ

Legal business name

SONG PHYSICAL MEDICINE, PC

Practice address

15 S Main St
Edison, NJ 08837-3447

Phone

(732) 991-6882

Fax

(732) 906-0124

NPI assigned

Jun 2, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Sang Ho Song, D.O.

Title

Owner

Phone

(732) 991-6882

Specialties & licenses 1

Addresses

Other identifiers 7

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053358424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1241",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088181241",
            "telephone_number": "732-991-6882",
            "fax_number": "732-906-0124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 S MAIN ST",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088373447",
            "telephone_number": "732-991-6882",
            "fax_number": "732-906-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONG PHYSICAL MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SONG",
        "authorized_official_first_name": "SANG HO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-991-6882",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "NJ",
            "license": "25MB07701500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4824194",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE HEALTHCARE SYSTEM",
            "identifier": "9353766",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "2286772",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3587468",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2465083",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BC/BS",
            "identifier": "5050G1",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P3308943",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edwin J. Solis, TSHH
• Somerset Medical Associates
• Jacqueline A Somuah
• Neal Chand Somwaru, MD
• Vidya K Sonavane, M.D.
• Diane Song, DDS
• Lydia Songprasit, O.D.
• Jay Sureskumar Soni, DDS
• Surbhee Soni
• Zalak Soni

• Comprehensive Outpatient Rehabilitation Facility (CORF) in Edison, NJ
• Providers in Edison, NJ by specialty
• Comprehensive Outpatient Rehabilitation Facility (CORF) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.