Individual provider Active NPI

Kiwon Song, M.D.

  • Anesthesiology Physician
  • New York, NY
National Provider Identifier
1891131967
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
277471 Issued in NY
Practice address
550 First Ave.
NYU Langone Medical Center
New York, NY 10016-6402
Phone
(212) 263-5506
NPI assigned
May 16, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 277471 NY Primary

Addresses

Primary practice location

550 First Ave.
NYU Langone Medical Center
New York, NY 10016-6402

Mailing address

550 First Ave.
NYU Langone Medical Center
New York, NY 10016-6402
Phone (212) 263-5506

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
I20160620001484 NY Practitioner - Anesthesiology 5193016335 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
State University of New York at Stony Brook, School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore - Lij Anesthesiology, PCGroup PAC ID 1153602453, 990 clinicians
Long Island Anesthesiologists, PLLCGroup PAC ID 5799677902, 44 clinicians
New York Cardiovascular Anesthesiologists, P.C.Group PAC ID 5799676623, 135 clinicians
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

100 E 77TH St
New York, NY 10075-1850
Phone (212) 434-2878

1000 Montauk Hwy
West Islip, NY 11795-4927
Phone (631) 376-4444

1000 N Village Ave
Rockville Center, NY 11570-1000
Phone (516) 627-6624

530 1St Ave
New York, NY 10016-6402

550 1St Ave
New York, NY 10016-6402
Phone (212) 263-6037

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Long Island Anesthesiologists, PLLC Anesthesiology CurrentSince Sep 26, 2023 Accepting new patients
Long Island Anesthesia Physicians LLP Anesthesiology CurrentSince Dec 29, 2019 Accepting new patients
New York University CurrentSince Jul 18, 2016 Accepting new patients
New York University Anesthesiology CurrentSince Jul 18, 2016 Accepting new patients
Nhpe, LLC CurrentSince Oct 1, 2025 Accepting new patients
New York Cardiovascular Anesthesiologists, P.C. Anesthesiology CurrentSince May 1, 2025 Accepting new patients
Northeast Endoscopy LLC Anesthesiology CurrentSince Oct 1, 2025 Accepting new patients
New York University Anesthesiology Current Accepting new patients
North Shore - Lij Anesthesiology, PC Anesthesiology CurrentSince Mar 30, 2024 Accepting new patients
University Associates in Obstetrics & Gynecology, University Faculty P Past Accepting new patients

Locations

4295 Hempstead Tpke
Bethpage, NY 11714
Phone (516) 520-2250

369 E Main St
Ste 18
East Islip, NY 11730
Phone (631) 277-1600

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

195 E Main St
Huntington, NY 11743
Phone (631) 385-8677

210 W Park Ave
Long Beach, NY 11561
Phone (516) 431-4800

510 Broadhollow Rd
Ste 100
Melville, NY 11747
Phone (631) 424-3600

1991 Marcus Ave
Ste M202
New Hyde Park, NY 11042
Phone (516) 204-4242

530 1st Ave
New York, NY 10016
Phone (212) 263-7216

100 E 77th St
New York, NY 10075
Phone (212) 434-2606

550 1st Ave
New York, NY 10016
Phone (212) 263-3293

680 Old Country Rd
Plainview, NY 11803
Phone (516) 681-8400

200 Belle Terre Rd
Prt Jefferson, NY 11777
Phone (631) 474-6000

1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012

100 Port Washington Blvd
Roslyn, NY 11576
Phone (516) 562-6385

5650 Sunrise Hwy
Sayville, NY 11782

235 N Belle Mead Rd
Setauket, NY 11733
Phone (631) 450-1200

300 S Oyster Bay Rd
Syosset, NY 11791
Phone (516) 605-2626

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

1000 Montauk Hwy
West Islip, NY 11795
Phone (516) 705-2689

246 Crossways Park Dr W
Woodbury, NY 11797
Phone (516) 682-8900

160 Crossways Park Dr
Woodbury, NY 11797
Phone (516) 364-4200

Networks

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

Interoperability endpoints

  • Direct secure messaging: ksong78779@nyumc.direct-ci.com

Organizations & group practices 11

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.

Hospital & facility affiliations 11

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

NPI Registry JSON

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

{
    "created_epoch": "1368662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1891131967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 FIRST AVE.",
            "address_2": "NYU LANGONE MEDICAL CENTER",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166402",
            "telephone_number": "212-263-5506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 FIRST AVE.",
            "address_2": "NYU LANGONE MEDICAL CENTER",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166402",
            "telephone_number": "212-263-5506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONG",
        "first_name": "KIWON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-16",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "277471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.