Yoon Sang Song, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00800600 Issued in NJ

Practice address

1930 Marlton Pike E Ste F33
Cherry Hill, NJ 08003-2150

Phone

(856) 234-1200

Fax

(856) 234-1206

NPI assigned

Feb 27, 2019

Reactivated

Mar 12, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ideal Spine and Joint Chiropractic PC

  • Chiropractor
  • Cherry Hill, NJ
  • NPI 1578317103
  Medicare reassignment NPD Authorized official
• Precision Health and Wellness Center LLC

  • Rehabilitation Chiropractor
  • Havertown, PA
  • NPI 1669750634
  NPD (past)

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

{
    "created_epoch": "1551225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1952868804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 MARLTON PIKE E STE F33",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080032150",
            "telephone_number": "856-234-1200",
            "fax_number": "856-234-1206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 MARLTON PIKE E STE F33",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080032150",
            "telephone_number": "856-234-1200",
            "fax_number": "856-234-1206"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "525 W Chester Pike Ste 103A",
            "address_purpose": "LOCATION",
            "city": "Havertown",
            "state": "PA",
            "postal_code": "190834539",
            "country_code": "US",
            "telephone_number": "610-789-3678",
            "fax_number": "610-789-3679",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SONG",
        "first_name": "YOON SANG",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-02-27",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "deactivation_date": "2019-02-28",
        "reactivation_date": "2019-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00800600",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC011458",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Solstice Counseling Services Corp.
• Somerdale Spine and Rehabilitation
• Catherine S. Somers, PT
• Daniel Richard Somma, DO
• Annie Son, DMD
• Anjali Soni, DDS
• Shervon Sonnebayatta
• Sonnheim Counseling Services Inc
• Delcine Ann Sood, DO
• Alyssa Mary Soorikian, MS, OTR/L

• Chiropractor in Cherry Hill, NJ
• Providers in Cherry Hill, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.