Song Heart and Vascular PC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

240614 Issued in NY

Legal business name

SONG HEART AND VASCULAR PC

Practice address

13656 39TH Ave
2ND FL
Flushing, NY 11354-5598

Phone

(718) 886-7575

Fax

(718) 886-7574

NPI assigned

Apr 21, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Jason Song, MDNPI 1669561999

Title

Medical Director

Phone

(917) 207-2650

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 5

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

• Jason J Song, M.D.

  • Cardiovascular Disease Physician
  • Manhasset, NY
  • NPI 1669561999
  Medicare reassignment NPD Authorized official
• Won Sup Cho, M.D.

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1871645648
  NPD (past)
• Yeon Joung Elebiary, FNP

  • Family Nurse Practitioner
  • Bay Shore, NY
  • NPI 1487064424
  NPD (past)
• Colleen Insook Lee, MD

  • Internal Medicine Physician
  • New York, NY
  • NPI 1710078993
  NPD (past)
• Junho Bok Lee, MD

  • Internal Medicine Physician
  • Flushing, NY
  • NPI 1245321462
  NPD (past)

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

{
    "created_epoch": "1398038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398038400000",
    "number": "1891115671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 CHARLOTTE PL",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076321616",
            "telephone_number": "917-207-2650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13656 39TH AVE",
            "address_2": "2ND FL",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545598",
            "telephone_number": "718-886-7575",
            "fax_number": "718-886-7574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONG HEART AND VASCULAR PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-21",
        "last_updated": "2014-04-21",
        "status": "A",
        "authorized_official_last_name": "SONG",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "917-207-2650",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "240614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine H Son, OMD
• Jiran Son, RPT
• Mi NA Son, M.D
• Gautami Sonar
• Sondermatology, P.C.
• A Li Song
• Aifeng Song
• Dapeng Song
• Deping Song
• Elijah Song, PHARMD

• Cardiovascular Disease Physician in Flushing, NY
• Providers in Flushing, NY by specialty
• Cardiovascular Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2014; 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.