Active NPI
Christopher S. Song, M.D.
- Otolaryngology Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 232417-1
- Practice address
- 9020 5TH Ave FL 3
Brooklyn, NY 11209-5908 - Phone
- (718) 833-0515
- NPI assigned
- Dec 13, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 232417-1 | NY | Primary |
Addresses
Primary practice location
9020 5TH Ave FL 3
Brooklyn, NY 11209-5908
Mailing address
660 White Plains Rd FL 4
Tarrytown, NY 10591-5139
Phone (914) 984-2546
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02575611 | Medicaid | NY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Univ of Calif, Los Angeles School of Dentistry, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1086 N Broadway
Suite 220
Yonkers, NY 10701-1112
Phone (914) 963-8588
9020 5TH Ave
FL 3
Brooklyn, NY 11209-5908
Phone (718) 833-0515
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.45 of 100
- Quality
- 89.91
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 232417-1 | NY | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| ENT and Allergy Associates LLP | Otolaryngology | Current | Accepting new patients |
| ENT and Allergy Associates of Pennsylvania PLLC | Otolaryngology | Past | Accepting new patients |
| University Group Medical Associates, P.C | Otolaryngology | Past | Accepting new patients |
| Coney Island Medical Practice Plan, P.C. | Past | Accepting new patients | |
| University Physicians of Brooklyn, Inc. | Otolaryngology | Past | Accepting new patients |
| Brookdale Hospital Medical Center | Past | Accepting new patients |
Locations
9020 5th Ave
Fl 3
Brooklyn, NY 11209
Phone (718) 833-0515
9020 5th Ave
Ste 3
Brooklyn, NY 11209
Phone (718) 333-5120
660 White Plains Rd
Fl 4
Tarrytown, NY 10591
Phone (914) 984-2546
1086 N Broadway
Ste 220
Yonkers, NY 10701
Phone (914) 279-9500
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- christopher.song@direct.entandallergy.nextgenshare.com
Organizations & group practices 6
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.
-
- Otolaryngology Physician
- Tarrytown, NY
- NPI 1376598326
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1720028772
-
- General Practice Physician
- Brooklyn, NY
- NPI 1386951762
-
- Diagnostic Radiology Physician
- Brooklyn, NY
- NPI 1285683102
Otolaryngology
-
- Otolaryngology Physician
- Brooklyn, NY
- NPI 1194772632
-
- Allergy & Immunology Physician
- Willow Grove, PA
- NPI 1548098759
Otolaryngology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554336000000",
"number": "1770568818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "660 WHITE PLAINS RD FL 4",
"city": "TARRYTOWN",
"state": "NY",
"postal_code": "105915139",
"telephone_number": "914-984-2546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9020 5TH AVE FL 3",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112095908",
"telephone_number": "718-833-0515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SONG",
"first_name": "CHRISTOPHER",
"middle_name": "S.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-13",
"last_updated": "2019-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "NY",
"license": "232417-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02575611",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.