Active NPI
Eugene Song
- Certified Registered Nurse Anesthetist
- Englewood, NJ
National Provider Identifier
1508793092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 26NJ15626400
- Practice address
- 350 Engle St
Englewood, NJ 07631-1898 - Phone
- (201) 894-3000
- NPI assigned
- May 7, 2026
- Last updated
- Aug 12, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 26NJ15626400 | NJ | Primary |
| Registered Nurse | 163W00000X | 26NR18118200 | NJ | |
| Registered Nurse | 163W00000X | 723063 | NY | |
| Registered Nurse | 163W00000X | 197984 | CT |
Addresses
Primary practice location
350 Engle St
Englewood, NJ 07631-1898
Mailing address
33 Henry PL Apt B5
Hackensack, NJ 07601-6600
Phone (201) 927-7387
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 197984 | CT | MD | Registered Nurse |
| 26NR18118200 | NJ | MD | Registered Nurse |
| 723063 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1778112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786492800000",
"number": "1508793092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 HENRY PL APT B5",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076016600",
"telephone_number": "201-927-7387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 ENGLE ST",
"city": "ENGLEWOOD",
"state": "NJ",
"postal_code": "076311898",
"telephone_number": "201-894-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SONG",
"first_name": "EUGENE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-05-07",
"last_updated": "2026-08-12",
"certification_date": "2026-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NJ",
"license": "26NJ15626400",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NJ",
"license": "26NR18118200",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "723063",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CT",
"license": "197984",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Englewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.