Active NPI
Joomee Song, MD
- Student in an Organized Health Care Education/Training Program
- Stony Brook, NY
National Provider Identifier
1346933348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- Health Sciences Center T12-020
Stony Brook, NY 11794-8121 - Phone
- (631) 444-7878
- Fax
- (631) 706-4484
- NPI assigned
- May 26, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary | ||
| Athletic Trainer | 2255A2300X |
Addresses
Primary practice location
Health Sciences Center T12-020
Stony Brook, NY 11794-8121
Mailing address
Health Sciences Center T12-020
Stony Brook, NY 11794-8121
Phone (631) 444-7878
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755734400000",
"number": "1346933348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HEALTH SCIENCES CENTER T12-020",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "117948121",
"telephone_number": "631-444-7878",
"fax_number": "631-706-4484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HEALTH SCIENCES CENTER T12-020",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "117948121",
"telephone_number": "631-444-7878",
"fax_number": "631-706-4484"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SONG",
"first_name": "JOOMEE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-26",
"last_updated": "2025-08-21",
"certification_date": "2025-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stony Brook, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.