Individual provider Active NPI

Monica Sunyoung Song, M.A. CCC-A

  • Audiologist
  • Wilmington, DE
National Provider Identifier
1154624575
Registry record updated Apr 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
02-0000097 Issued in DE
Practice address
2700 Silverside Rd
Suite 3a
Wilmington, DE 19810-3719
Phone
(302) 478-9878
Fax
(302) 478-8069
NPI assigned
Dec 7, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 02-0000097 DE Primary

Addresses

Primary practice location

2700 Silverside Rd
Suite 3a
Wilmington, DE 19810-3719

Mailing address

2700 Silverside Rd
3A
Wilmington, DE 19810-3719
Phone (302) 478-9878

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110520000407 DE Practitioner - Qualified Audiologist 0547446890 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ENT and Allergy of Delaware LLC 42 clinicians

Practice addresses (Care Compare)

1401 Foulk Rd
Suite 205
Wilmington, DE 19803-2764
Phone (302) 998-0300

306 E Main St
Middletown, DE 19709-1482
Phone (302) 998-0300

Merit-based Incentive Payment System (MIPS)

Final score
89.46 of 100Reported as group
Quality
89.33
Promoting interoperability
100
Improvement activities
40
Cost
75.53

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
02-0000097DEMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
ENT and Allergy of Delaware LLC CurrentSince Jan 1, 2011 Accepting new patients

Locations

700 Prides Xing
Ste 200
Newark, DE 19713

1941 Limestone Rd
Ste 210
Wilmington, DE 19808
Phone (302) 992-9617

1011 Centre Rd
Ste 200
Wilmington, DE 19805

1401 Foulk Rd
Ste 205
Wilmington, DE 19803

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1291680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334534400000",
    "number": "1154624575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 SILVERSIDE RD",
            "address_2": "3A",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198103719",
            "telephone_number": "302-478-9878",
            "fax_number": "302-478-8069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 SILVERSIDE RD",
            "address_2": "SUITE 3A",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198103719",
            "telephone_number": "302-478-9878",
            "fax_number": "302-478-8069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONG",
        "first_name": "MONICA",
        "middle_name": "SUNYOUNG",
        "credential": "M.A. CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-07",
        "last_updated": "2012-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "DE",
            "license": "02-0000097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.