Individual provider Active NPI

Hongya Song, M.D.

  • Internal Medicine Physician
  • Parsippany, NJ
National Provider Identifier
1295756625
Registry record updated Feb 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA08029 Issued in NJ
Practice address
239 New Rd
Suite B105
Parsippany, NJ 07054-4274
Phone
(973) 727-9654
NPI assigned
Jul 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MA08029 NJ Primary

Addresses

Primary practice location

239 New Rd
Suite B105
Parsippany, NJ 07054-4274

Mailing address

239 New Rd
Suite B105
Parsippany, NJ 07054-4274

Other identifiers 1

IdentifierTypeStateIssuer
MA08029OtherNJSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070320000600 NJ Practitioner - Internal Medicine 0244333847 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10 Bromley Dr
Parsippany, NJ 07054-1406

239 New Rd
Suite B105
Parsippany, NJ 07054-1406
Phone (973) 727-9654

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA08029NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Song Primary Care LLC Internal Medicine CurrentSince Jan 1, 2007 Accepting new patients

Locations

239 New Rd
Ste B105
Parsippany, NJ 07054
Phone (973) 727-9654

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360627200000",
    "number": "1295756625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 NEW RD",
            "address_2": "SUITE B105",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070544274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 NEW RD",
            "address_2": "SUITE B105",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070544274",
            "telephone_number": "973-727-9654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONG",
        "first_name": "HONGYA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2013-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA08029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "MA08029",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parsippany, NJ

Sources for this page

Verify at the official NPI Registry.