Organization Active NPI

Song Primary Care LLC

  • Internal Medicine Physician
  • Parsippany, NJ
National Provider Identifier
1598828683
Registry record updated Feb 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SONG PRIMARY CARE LLC
Practice address
239 New Rd
Building B Suite 105
Parsippany, NJ 07054-4274
Phone
(973) 727-9654
Fax
(973) 808-8816
NPI assigned
Dec 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2012

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

Authorized official

Name
Hongya Song, MDNPI 1295756625
Title
Sole Member
Phone
(973) 727-9654

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

239 New Rd
Building B Suite 105
Parsippany, NJ 07054-4274

Mailing address

10 Bromley Dr
Parsippany, NJ 07054-1406

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070322000021 NJ Part B Supplier - Clinic/Group Practice 4981707478 Receives reassigned benefits from 1 practitioner
Practice locations: Parsippany, NJ

National Provider Directory

National Provider Directory

Locations

239 New Rd
Ste 105
Parsippany, NJ 07054

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330387200000",
    "number": "1598828683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 BROMLEY DR",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070541406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 NEW RD",
            "address_2": "BUILDING B SUITE 105",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070544274",
            "telephone_number": "973-727-9654",
            "fax_number": "973-808-8816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONG PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2012-02-28",
        "status": "A",
        "authorized_official_last_name": "SONG",
        "authorized_official_first_name": "HONGYA",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "973-727-9654",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parsippany, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.