Active NPI
Songee Park
- Physical Therapist
- New York, NY
National Provider Identifier
1710546478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 040792-1
- Practice address
- 60 Madison Ave Ste 1012
New York, NY 10010-1654 - Phone
- (212) 696-9355
- NPI assigned
- Jun 6, 2019
- Last updated
- Jun 6, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 040792-1 | NY | Primary |
Addresses
Primary practice location
60 Madison Ave Ste 1012
New York, NY 10010-1654
Mailing address
260 Middle Country Rd Ste 9a
Selden, NY 11784-2570
Phone (631) 732-1600
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 040792-1 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Medical Company | Past | Accepting new patients | |
| American Medical Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapy Clinic/Center
- Brooklyn, NY
- NPI 1053859207
-
dba D/B/A American Medical Management of New York
- Home Health Agency
- Selden, NY
- NPI 1568646347
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559779200000",
"number": "1710546478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "260 MIDDLE COUNTRY RD STE 9A",
"city": "SELDEN",
"state": "NY",
"postal_code": "117842570",
"telephone_number": "631-732-1600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 MADISON AVE STE 1012",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100101654",
"telephone_number": "212-696-9355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARK",
"first_name": "SONGEE",
"name_prefix": "Miss",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-06",
"last_updated": "2019-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "040792-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.