Organization Active NPI

Wellbeing Physical Medicine & Medical Care, PC

  • Physical Medicine & Rehabilitation Physician
  • Elmhurst, NY
National Provider Identifier
1174747513
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
226051 Issued in NY
Legal business name
WELLBEING PHYSICAL MEDICINE & MEDICAL CARE, PC
Practice address
52-16 Vanloon Street
Apt 1a
Elmhurst, NY 11373
Phone
(718) 205-0175
NPI assigned
Apr 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Lijun Song, M.D.
Title
Owner of the Bussiness
Phone
(516) 294-0329

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X 226051 NY Primary

Addresses

Primary practice location

52-16 Vanloon Street
Apt 1a
Elmhurst, NY 11373

Mailing address

212 Collins Ave
Williston Park, NY 11596-1024
Phone (516) 294-0329

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174747513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 COLLINS AVE",
            "city": "WILLISTON PARK",
            "state": "NY",
            "postal_code": "115961024",
            "telephone_number": "516-294-0329",
            "fax_number": "516-294-0329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52-16 VANLOON STREET",
            "address_2": "APT 1A",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "11373",
            "telephone_number": "718-205-0175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLBEING PHYSICAL MEDICINE & MEDICAL CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SONG",
        "authorized_official_first_name": "LIJUN",
        "authorized_official_title_or_position": "OWNER OF THE BUSSINESS",
        "authorized_official_telephone_number": "516-294-0329",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "226051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, NY

Sources for this page

  • 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.