Individual provider Active NPI

Je Lim Song

  • Acupuncturist
  • New York, NY
National Provider Identifier
1942774195
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
00635201 Issued in NY
Practice address
928 Broadway Ste 504
New York, NY 10010-8144
Phone
(646) 675-3111
NPI assigned
Jan 21, 2019
Last updated
May 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 25MZ00135100 NJ
Acupuncturist 171100000X 00635201 NY Primary

Addresses

Primary practice location

928 Broadway Ste 504
New York, NY 10010-8144

Mailing address

800 Ave at Port Imp.
Apt 513
Weehawken, NJ 07086-5507
Phone (646) 675-3111

Other practice location 1

1200 Ave At Port Imprl
Weehawken, NJ 07086-6899
Phone (646) 675-3111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
25MZ00135100NJMDAcupuncturist
00635201NYMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1548028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778112000000",
    "number": "1942774195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 AVE AT PORT IMP.",
            "address_2": "APT 513",
            "city": "WEEHAWKEN",
            "state": "NJ",
            "postal_code": "070865507",
            "telephone_number": "646-675-3111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "928 BROADWAY STE 504",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100108144",
            "telephone_number": "646-675-3111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Ave At Port Imprl",
            "address_purpose": "LOCATION",
            "city": "Weehawken",
            "state": "NJ",
            "postal_code": "070866899",
            "country_code": "US",
            "telephone_number": "646-675-3111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SONG",
        "first_name": "JE LIM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-21",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00135100",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "00635201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2026; 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.