SONG PHYSICAL MEDICINE PC NPI 1053358424

NPI Information

NPI: 1053358424
Provider Name: SONG PHYSICAL MEDICINE, PC
Classification: Clinic/Center - 261QR0401X
Entity Type: Organization

Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

Address:
15 S MAIN ST
EDISON, NJ
ZIP 08837
Phone: (732) 991-6882
Get Directions

SONG PHYSICAL MEDICINE, PC is a rehabilitation and comprehensive outpatient rehabilitation facility (corf) clinic center in Edison, NJ. SONG PHYSICAL MEDICINE, PC NPI is 1053358424. The provider is registered as an organization entity type.

The provider's business location address is:

15 S MAIN ST
EDISON, NJ
ZIP 08837-447
Phone: (732) 991-6882
Fax: (732) 906-0124

The provider's authorized official is Sang Ho Song .
The authorized official title is Owner and has the following contact phone number (732) 991-6882.

The enumeration date for this NPI number is 6/2/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0401X	Clinic/Center	Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)	25MB07701500	NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2286772	OTHER	NEW JERSEY	FIRST HEALTH
2	3587468	OTHER	NEW JERSEY	AETNA
3	9353766	OTHER	NEW JERSEY	PRIVATE HEALTHCARE SYSTEM
4	2465083	OTHER	NEW JERSEY	UNITED HEALTHCARE
5	4824194	OTHER	NEW JERSEY	CIGNA
6	5050G1	OTHER	NEW JERSEY	EMPIRE BC/BS
7	P3308943	OTHER	NEW JERSEY	OXFORD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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