Individual provider Active NPI

Jason J Song, M.D.

  • Cardiovascular Disease Physician
  • Manhasset, NY
National Provider Identifier
1669561999
Registry record updated Sep 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
240614 Issued in NY
Practice address
300 Community Dr
Department of Cardiology
Manhasset, NY 11030-3816
Phone
(516) 562-4100
Fax
(516) 562-3992
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 240614 NY
Cardiovascular Disease Physician 207RC0000X 240614 NY Primary

Addresses

Primary practice location

300 Community Dr
Department of Cardiology
Manhasset, NY 11030-3816

Mailing address

300 Community Dr
Department of Cardiology
Manhasset, NY 11030-3816
Phone (516) 562-4100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20070206000644 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 1355343286 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Tufts University School of Medicine, 2003
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

158 -14 Northern Boulevard
Suite Ul 1
Flushing, NY 11358-1629

15814 Northern Boulevard
Suite Ul 1
Flushing, NY 11358-1629

4221 162ND St
Apt 1
Flushing, NY 11358-4151
Phone (917) 207-2650

Merit-based Incentive Payment System (MIPS)

Final score
23.47 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
78.24

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Song Heart and Vascular PC Cardiovascular Disease CurrentSince Apr 17, 2014 Accepting new patients
Trustees of Columbia University in the City of New York Internal Medicine Past Accepting new patients
Icahn School of Medicine at Mount Sinai PastSince Jan 1, 2012 Accepting new patients
Lenox Hill Interventional Cardiac & Vascular Services PC Past Accepting new patients

Locations

13656 39th Ave
Ste 2FL
Flushing, NY 11354
Phone (718) 886-7014

15814 Northern Blvd
Ste UL1
Flushing, NY 11358
Phone (929) 799-1442

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379376000000",
    "number": "1669561999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 COMMUNITY DR",
            "address_2": "DEPARTMENT OF CARDIOLOGY",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303816",
            "telephone_number": "516-562-4100",
            "fax_number": "516-562-3992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 COMMUNITY DR",
            "address_2": "DEPARTMENT OF CARDIOLOGY",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303816",
            "telephone_number": "516-562-4100",
            "fax_number": "516-562-3992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONG",
        "first_name": "JASON",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2013-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "240614",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "240614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhasset, NY

Sources for this page

Verify at the official NPI Registry.