Woo Kwang Song, M.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

25MA04574900 Issued in NJ

Practice address

1458 W Landis Ave
Suite 1
Vineland, NJ 08360-3427

Phone

(856) 691-2552

Fax

(856) 691-8885

NPI assigned

Jul 21, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320624000000",
    "number": "1922008879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1458 W LANDIS AVE",
            "address_2": "SUITE 1",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083603427",
            "telephone_number": "856-691-2552",
            "fax_number": "856-691-8885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1458 W LANDIS AVE",
            "address_2": "SUITE 1",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083603427",
            "telephone_number": "856-691-2552",
            "fax_number": "856-691-8885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONG",
        "first_name": "WOO",
        "middle_name": "KWANG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-21",
        "last_updated": "2011-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "25MA04574900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5583501",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arnold James Solof, MD
• Marina Sologub, DO
• Alyxandra M Soloway Craner, MD
• Stephen Soloway, M.D.,FACP.,FACR.,CCD
• Sarah J. Song, DO, MS
• Chirag Soni, DO
• Marc Quentin Sonnier Jr., DO
• Ruchi Sood, M.D.
• Sora Yoon MD LLC
• Giselle Sosa

• Gastroenterology Physician in Vineland, NJ
• Providers in Vineland, NJ by specialty
• Gastroenterology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.