NPIMap

Individual provider Active NPI

Jin Hwa Song, M.D.

  • Internal Medicine Physician
  • Olean, NY
National Provider Identifier
1760629364
Registry record updated Sep 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0266332 Issued in NY
Practice address
535 Main St
Olean, NY 14760-1500
Phone
(716) 372-0141
Fax
(716) 372-6421
NPI assigned
Jan 19, 2009
Sex
Female
Sole proprietor
Yes

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Nuclear Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trinity Medical Wny PC 207 clinicians
Sisters of Charity Hospital of Buffalo New York 160 clinicians
Kenmore Mercy Hospital 54 clinicians
Mercy Hospital of Buffalo 198 clinicians

Practice addresses (Care Compare)

1616 Kensington Ave
Suite 1
Buffalo, NY 14215-1433
Phone (716) 834-3278

2157 Main St
Buffalo, NY 14214-2648
Phone (716) 837-2400

2605 Harlem Rd
Cheektowaga, NY 14225-4018
Phone (716) 891-2400

2950 Elmwood Ave
Kenmore, NY 14217-1304

3091 William St
Cheektowaga, NY 14227-1919
Phone (716) 822-3098

310 Sterling Dr
Suite 100
Orchard Park, NY 14127-1500
Phone (716) 677-6800

3435 Bailey Ave
Buffalo, NY 14215-1194
Phone (716) 835-2966

4855 Camp Rd
Hamburg, NY 14075-2600

565 Abbott Rd
Buffalo, NY 14220-2039
Phone (716) 837-2400

825 Wehrle Dr
Williamsville, NY 14221-7717
Phone (716) 634-3243

Hospital & facility affiliations

  • Mercy Hospital of Buffalo Hospital, Buffalo, NY, CCN 330279
  • Sisters of Charity Hospital Hospital, Buffalo, NY, CCN 330078
  • Kenmore Mercy Hospital Hospital, Kenmore, NY, CCN 330102
  • Mount St. Mary'S Hospital & Health Center Hospital, Lewiston, NY, CCN 330188
  • Kaleida Health Hospital, Buffalo, NY, CCN 330005

Merit-based Incentive Payment System (MIPS)

Final score
29.07 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
96.92

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121010000405 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Nuclear Medicine 9638328446 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0266332NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sisters of Charity Hospital of Buffalo New York CurrentSince Feb 16, 2019 Accepting new patients
Sisters of Charity Hospital of Buffalo New York CurrentSince Feb 16, 2019 Accepting new patients
Kenmore Mercy Hospital CurrentSince Nov 1, 2020 Accepting new patients
Trinity Medical Wny PC CurrentSince Jul 1, 2017 Accepting new patients
Mercy Hospital of Buffalo CurrentSince Feb 10, 2018 Accepting new patients
Sisters of Charity Hospital of Buffalo, New York Current Accepting new patients
Trinity Medical Wny PC Internal Medicine CurrentSince Jul 1, 2017 Accepting new patients
Mount St. Mary'S Hospital of Niagara Falls Internal Medicine CurrentSince Nov 1, 2020 Accepting new patients
Mercy Hospital of Buffalo CurrentSince Feb 10, 2018 Accepting new patients
Kenmore Mercy Hospital CurrentSince Nov 1, 2020 Accepting new patients
Mount St. Mary'S Hospital of Niagara Falls CurrentSince Nov 1, 2020 Accepting new patients

Locations

2157 Main St
Buffalo, NY 14214
Phone (716) 862-1501

3435 Bailey Ave
Buffalo, NY 14215
Phone (716) 835-2966

144 Genesee St
Fl 3
Buffalo, NY 14203
Phone (716) 601-3690

565 Abbott Rd
Buffalo, NY 14220
Phone (716) 826-7000

3091 William St
Cheektowaga, NY 14227
Phone (716) 822-3098

2605 Harlem Rd
Cheektowaga, NY 14225
Phone (716) 891-2315

4855 Camp Rd
Hamburg, NY 14075
Phone (716) 646-1084

6001 Shimer Dr
Lockport, NY 14094
Phone (716) 419-0400

908 Niagara Falls Blvd
Ste 208
North Tonawanda, NY 14120
Phone (716) 649-1613

3669 Southwestern Blvd
Orchard Park, NY 14127
Phone (716) 662-0500

5300 Military Rd
Stela Niagara, NY 14092
Phone (716) 297-4800

300 Two Mile Creek Rd
Tonawanda, NY 14150
Phone (716) 447-6450

2950 Elmwood Ave
Tonawanda, NY 14217
Phone (716) 447-6100

Interoperability endpoints

  • Direct secure messaging: jsong107496@direct.chsbuffalo.org

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0266332 NY Primary
Cardiovascular Disease Physician 207RC0000X 266332 NY

Addresses

NPPES NPI Registry

Primary practice location

535 Main St
Olean, NY 14760-1500

Mailing address

535 Main St
Olean, NY 14760-1500
Phone (716) 372-0141

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 13, 2012.

{
    "created_epoch": "1232323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347494400000",
    "number": "1760629364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 MAIN ST",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147601500",
            "telephone_number": "716-372-0141",
            "fax_number": "716-372-6421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 MAIN ST",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147601500",
            "telephone_number": "716-372-0141",
            "fax_number": "716-372-6421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONG",
        "first_name": "JIN HWA",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-19",
        "last_updated": "2012-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "0266332",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "266332",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olean, NY

Sources for this page

Verify at the official NPI Registry.