Mark Song, MD

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

210025 Issued in NY

Practice address

339 Hicks St
Division of Vascular Surgery
Brooklyn, NY 11201-5509

Phone

(718) 780-1051

Fax

(718) 780-1309

NPI assigned

Dec 30, 2005

Last updated

Sep 29, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY, NJ, CT3 enrollments

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 3

Specialty

Interventional RadiologyAlso: Vascular Surgery

Education

State University of New York Downstate Medical Center, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

New Jersey Interventional Associates, LLCGroup PAC ID 2062575426, 5 clinicians

Connecticut Image Guided Surgery PCGroup PAC ID 9234022328, 4 clinicians

American Access Care Physician PLLCGroup PAC ID 8224929997, 18 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

97.94

Promoting interoperability

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

92.95 of 100Reported as group

Quality

76.17

Promoting interoperability

99

Improvement activities

40

Cost

67.84

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: mark.song.d1.p23@direct.aac.nextgenshare.com
• Direct secure messaging: mark.song.p114@direct.aac.nextgenshare.com
• Direct secure messaging: mark.song.p16@direct.aac.nextgenshare.com
• Direct secure messaging: mark.song.p17@direct.aac.nextgenshare.com
• Direct secure messaging: mark.song.p202@direct.aac.nextgenshare.com
• Direct secure messaging: mark.song.p211@direct.aac.nextgenshare.com
• Direct secure messaging: mark.song.p71@direct.aac.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• American Access Care Physician PLLC

  • Vascular & Interventional Radiology Physician
  • Brooklyn, NY
  • NPI 1235104878
  Medicare reassignment Care Compare group NPD
• Connecticut Image Guided Surgery, PC

  • Vascular & Interventional Radiology Physician
  • Fairfield, CT
  • NPI 1730148784
  Medicare reassignment Care Compare group NPD
• New Jersey Interventional Associates, LLC

  dba Azura Vascular Care Union

  • Vascular & Interventional Radiology Physician
  • Union, NJ
  • NPI 1629226428
  Medicare reassignment Care Compare group NPD
• University Physicians of Brooklyn, Inc.

  dba Downstate Health Physicians

  • Surgery Physician
  • Brooklyn, NY
  • NPI 1538116082

  Vascular Surgery

  Medicare reassignment NPD
• Access Care Physicians of NJ LLC

  dba Azura Vascular Care Woodland Park

  • Vascular & Interventional Radiology Physician
  • Woodland Park, NJ
  • NPI 1649217787
  Medicare reassignment NPD
• University Physicians of Brooklyn, Inc.

  dba Downstate Health Physicians

  • Child & Adolescent Psychiatry Physician
  • Brooklyn, NY
  • NPI 1689715476
  NPD
• Access Care Physicians of NJ LLC

  • Ambulatory Surgical Clinic/Center
  • Union, NJ
  • NPI 1376161117
  NPD
• Renal Focus ASC LLC

  • Ambulatory Surgical Clinic/Center
  • Brooklyn, NY
  • NPI 1952069023
  NPD (past)
• State of New York

  dba Suny DMC @ Lich-Pathology

  • Anatomic Pathology & Clinical Pathology Physician
  • Brooklyn, NY
  • NPI 1639477979
  NPD (past)
• Suny Health Science Center at Brooklyn

  dba Suny DMC@Lich-Urology

  • Urology Physician
  • Brooklyn, NY
  • NPI 1104124379
  NPD (past)
• United Medical Surgical PC

  • Surgery Physician
  • Staten Island, NY
  • NPI 1689699225

  Vascular Surgery

  NPD (past)
• New Jersey Interventional Associates LLC

  dba Azura Vascular Care Union

  • Ambulatory Surgical Clinic/Center
  • Union, NJ
  • NPI 1255894051
  NPD (past)

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

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1346227246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 HICKS ST",
            "address_2": "2ND FL OTHMER BLDG",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015509",
            "telephone_number": "718-780-1051",
            "fax_number": "718-780-1309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 HICKS ST",
            "address_2": "DIVISION OF VASCULAR SURGERY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015509",
            "telephone_number": "718-780-1051",
            "fax_number": "718-780-1309"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3250 Westchester Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104614548",
            "country_code": "US",
            "telephone_number": "718-794-9729",
            "fax_number": "718-794-9730",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "35 E 110th St Ste 2",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100290450",
            "country_code": "US",
            "telephone_number": "212-427-9895",
            "fax_number": "212-427-9897",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "35 E 110th St Ste 3",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100290354",
            "country_code": "US",
            "telephone_number": "212-427-9895",
            "fax_number": "212-427-9897",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1225 McBride Ave Ste 117",
            "address_purpose": "LOCATION",
            "city": "Woodland Park",
            "state": "NJ",
            "postal_code": "074243813",
            "country_code": "US",
            "telephone_number": "973-837-1081",
            "fax_number": "973-837-1084",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20606 Hillside Ave",
            "address_purpose": "LOCATION",
            "city": "Queens Village",
            "state": "NY",
            "postal_code": "114271710",
            "country_code": "US",
            "telephone_number": "718-820-9729",
            "fax_number": "718-820-9730",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "960 40th St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112191518",
            "country_code": "US",
            "telephone_number": "718-369-1444",
            "fax_number": "718-369-3066",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1050 Galloping Hill Rd Ste 206",
            "address_purpose": "LOCATION",
            "city": "Union",
            "state": "NJ",
            "postal_code": "070837980",
            "country_code": "US",
            "telephone_number": "908-686-1350",
            "fax_number": "908-686-1382",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1050 Galloping Hill Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Union",
            "state": "NJ",
            "postal_code": "070837980",
            "country_code": "US",
            "telephone_number": "908-686-1350",
            "fax_number": "908-686-1382",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Hospital Rd Ste 203",
            "address_purpose": "LOCATION",
            "city": "East Patchogue",
            "state": "NY",
            "postal_code": "117728814",
            "country_code": "US",
            "telephone_number": "516-466-6760",
            "fax_number": "516-466-6776",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1152 Kings Highway Cutoff Ste 104",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "CT",
            "postal_code": "068245273",
            "country_code": "US",
            "telephone_number": "203-330-0248",
            "fax_number": "203-330-9730",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 Northern Blvd Ste 140",
            "address_purpose": "LOCATION",
            "city": "Great Neck",
            "state": "NY",
            "postal_code": "110215302",
            "country_code": "US",
            "telephone_number": "516-466-6760",
            "fax_number": "516-466-6776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SONG",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-30",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NJ",
            "license": "25MA10473200",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NY",
            "license": "210025",
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CT",
            "license": "80164",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02094553",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher S. Song, M.D.
• Hangi Song
• Helen Song, M.S.ED
• Jingwei Song
• Kimberly Song, MD
• Minkyeong Song
• Rachael Song, PT, DPT
• Sarah Song, PSY.D.
• Shirley Jue Song, RDN, CDN
• Sydney Song, MD PHD

• Vascular Surgery Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Vascular Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; 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.
• 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.