Active NPI
Michael Song, MD
- Anesthesiology Physician
- Ramsey, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 25MA06850400
- Practice address
- 500 N Franklin Tpke
Suite 206
Ramsey, NJ 07446-1177 - Phone
- (201) 962-7282
- Fax
- (201) 962-7283
- NPI assigned
- Sep 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 25MA06850400 | NJ | Primary |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 25MA06850400 | NJ |
Addresses
Primary practice location
500 N Franklin Tpke
Suite 206
Ramsey, NJ 07446-1177
Mailing address
255 W Michigan Ave
P. O. Box 1123
Jackson, MI 49201-2218
Phone (517) 787-6440
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01664740 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of Southern California Keck School of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10475 Centurion Pkwy N
Suite 201
Jacksonville, FL 32256-5004
Phone (904) 223-3321
9143 Philips Hwy
Suite 500
Jacksonville, FL 32256-1335
Phone (888) 324-7432
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA06850400 | NJ | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vision Anesthesia LLC | Anesthesiology | Current | Accepting new patients |
| Tranquil Anesthesiology LLC | Anesthesiology | Current | Accepting new patients |
| Ironcrest Anesthesia LLC | Anesthesiology | Current | Accepting new patients |
| Orthomed Staffing LLC | Anesthesiology | Current | Accepting new patients |
| Quiescence Anesthesia LLC | Current | Accepting new patients | |
| Overwatch Anesthesia | Current | Accepting new patients | |
| Port Jervis Anesthesiology Associates, PLLC | Past | Accepting new patients | |
| Ramapo Pain Management & Medical Services, PLLC | Past | Accepting new patients | |
| Ramapo Anesthesiologists, PC | Anesthesiology | Past | Accepting new patients |
| New Jersey Pain Consultants PC | Past | Accepting new patients |
Locations
93 N Park Place Blvd
Ste 102
Clearwater, FL 33759
Phone (727) 240-2088
980 Milwaukee Ave
Dunedin, FL 34698
Phone (330) 704-4752
5238 Mason Corbin Ct
Ste 101
Fort Myers, FL 33907
Phone (239) 489-3166
5191 First Coast Tech Pkwy
Fl 1
Jacksonville, FL 32224
Phone (904) 593-5146
9143 Philips Hwy
Ste 500
Jacksonville, FL 32256
Phone (904) 233-0597
5191 First Coast Tech Pkwy
Fl 3
Jacksonville, FL 32224
Phone (904) 222-3332
9726 Touchton Rd
Ste 305
Jacksonville, FL 32246
Phone (904) 686-6020
10475 Centurion Pkwy N
Ste 201
Jacksonville, FL 32256
Phone 90422333213118
619 SW Baya Dr
Ste 102
Lake City, FL 32025
Phone (386) 361-3400
2207 SW 1st Ave
Ocala, FL 34471
Phone (352) 351-1200
6900 Turkey Lake Rd
Ste 2-5
Orlando, FL 32819
Phone (407) 354-5401
1780 N Mills Ave
Orlando, FL 32803
Phone (407) 426-8484
598 Sterthaus Dr
Ormond Beach, FL 32174
Phone (386) 256-2565
1399 Jenks Ave
Bldg J
Panama City, FL 32401
Phone (850) 532-6303
3505 Progress Ln
Saint Cloud, FL 34769
Phone (407) 348-5175
2010 Fleischmann Rd
Tallahassee, FL 32308
Phone (850) 552-0608
1879 Nightingale Ln
Ste A1
Tavares, FL 32778
Phone (352) 401-1919
15548 W Colonial Dr
Winter Garden, FL 34787
Phone (407) 547-1654
1303 Dantignac St
Ste 2500
Augusta, GA 30901
Phone (706) 722-6900
1468 Montreal Rd
Ste 200
Tucker, GA 30084
Phone (770) 638-1400
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Jacksonville, FL
- NPI 1134740319
-
- Specialist
- Morristown, NJ
- NPI 1366448979
-
- Hospice and Palliative Medicine (Anesthesiology) Physician
- Port Jervis, NY
- NPI 1699984427
-
- Anesthesiology Physician
- Suffern, NY
- NPI 1235151002
-
- Interventional Pain Medicine Physician
- Suffern, NY
- NPI 1619982352
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340928000000",
"number": "1104925080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "255 W MICHIGAN AVE",
"address_2": "P. O. BOX 1123",
"city": "JACKSON",
"state": "MI",
"postal_code": "492012218",
"telephone_number": "517-787-6440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 N FRANKLIN TPKE",
"address_2": "SUITE 206",
"city": "RAMSEY",
"state": "NJ",
"postal_code": "074461177",
"telephone_number": "201-962-7282",
"fax_number": "201-962-7283"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SONG",
"first_name": "MICHAEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-21",
"last_updated": "2012-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NJ",
"license": "25MA06850400",
"primary": true
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "NJ",
"license": "25MA06850400",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01664740",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ramsey, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.