Active NPI
Song Dental Group
- Orthodontics and Dentofacial Orthopedics Dentistry
- Jersey City, NJ
National Provider Identifier
1114842986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- Legal business name
- SONG DENTAL GROUP
- Practice address
- 175 Newark Ave Unit 3a-1
Jersey City, NJ 07302-2859 - Phone
- (626) 848-4471
- NPI assigned
- Aug 11, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Richard Song, DDS
- Title
- Orthodontist
- Phone
- (626) 848-4471
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | Primary |
Addresses
Primary practice location
175 Newark Ave Unit 3a-1
Jersey City, NJ 07302-2859
Mailing address
401 Washington Blvd Apt 2101
Jersey City, NJ 07310-2227
National Provider Directory
National Provider DirectoryLocations
175 Newark Ave
Unit 3A1
Jersey City, NJ 07302
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1786406400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1786406400000",
"number": "1114842986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 WASHINGTON BLVD APT 2101",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073102227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 NEWARK AVE UNIT 3A-1",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073022859",
"telephone_number": "626-848-4471"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SONG DENTAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-11",
"last_updated": "2026-08-11",
"certification_date": "2026-08-11",
"status": "A",
"authorized_official_last_name": "SONG",
"authorized_official_first_name": "RICHARD",
"authorized_official_title_or_position": "ORTHODONTIST",
"authorized_official_telephone_number": "626-848-4471",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jersey City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.