Regina Seyun Song, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

306161 Issued in NY

Practice address

500 Commack Rd Unit 160
Commack, NY 11725-5009

Phone

(631) 855-1200

NPI assigned

Jan 7, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Seyun Song Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: regina.song@direct.stonybrookmedicine.edu

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.

• Mauro Gasparini, M.D., P.C.

  • Internal Medicine Physician
  • Massapequa, NY
  • NPI 1144376880
  Medicare reassignment
• Mark Gasparini, D.P.M. P.C.

  • Primary Podiatric Medicine Podiatrist
  • Massapequa, NY
  • NPI 1588728687
  NPD
• University Hospital at Stony Brook

  • General Acute Care Hospital
  • Stony Brook, NY
  • NPI 1972523348
  NPD

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

{
    "created_epoch": "1357516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649635200000",
    "number": "1184961476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 COMMACK RD UNIT 160",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117255009",
            "telephone_number": "631-855-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 COMMACK RD UNIT 160",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117255009",
            "telephone_number": "631-855-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONG",
        "first_name": "REGINA",
        "middle_name": "SEYUN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-07",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "621379",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "306161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "regina.song@direct.stonybrookmedicine.edu",
            "affiliation": "N",
            "address_1": "500 Commack Rd Unit 160",
            "city": "Commack",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117255009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SEYUN",
            "last_name": "SONG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Joann So Ryerson, OTR/L
• Jennifer K Sohn, M.D.
• Karen A. Solomon, LCSW
• Solutions Counseling LCSW PLLC
• Rachna Sharma Sondhi, M.D.
• Jill Sontarp-Prpich
• Gabrielle Rose Sorensen
• Lynn Ronni Soriano, MA
• Stacey A. Spata, LCSW
• Lorie Ann Speciale

• Adult Health Nurse Practitioner in Commack, NY
• Providers in Commack, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.