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DR. JINSUP SONG DPM PHD NPI 1295721777


NPI Information

NPI: 1295721777
Provider Name: DR. JINSUP SONG, DPM PHD
Classification: Podiatrist - 213E00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
148 N 8TH ST
PHILADELPHIA, PA
ZIP 19107
Phone: (215) 777-5808
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DR. Jinsup Song, DPM PHD is a podiatrist in Philadelphia, PA with 27 years of experience. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. DR. Jinsup Song, DPM PHD NPI is 1295721777. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: TEMPLE UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Graduation Year:1997

The provider's business location address is:

148 N 8TH ST
PHILADELPHIA, PA
ZIP 19107-496
Phone: (215) 777-5808
Fax: (215) 777-5825

The NPI 1295721777 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of tissue from 6 or more finger or toe nails (HCPCS:11721)

The enumeration date for this NPI number is 9/21/2005 and was last updated on 10/3/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213E00000XPodiatristSC004393LPENNSYLVANIAYes
2213EP1101XPodiatristPrimary Podiatric MedicineSC004393LPENNSYLVANIANo

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10018076090003MEDICAIDPENNSYLVANIA
28259607OTHERNEW JERSEYNJ MEDICAL ASSISTANCE
3893038OTHERPENNSYLVANIAKEYSTONE HEALTH PLAN PPO
41125735OTHERPENNSYLVANIAKEYSTONE MERCY
5231365971OTHERPENNSYLVANIAHUMANA
61807609MEDICAIDPENNSYLVANIA
7P2665731OTHERPENNSYLVANIAOXFORD
80499950000OTHERPENNSYLVANIAKEYSTONE HEALTH PLAN HMO
9231365971071OTHERPENNSYLVANIATRI-CARE
10S0819326OTHERPENNSYLVANIABLUE SHIELD OF PA
11231365971OTHERPENNSYLVANIAUNITED HEALTH CARE
129231OTHERPENNSYLVANIAELDER HEALTH / BRAVO
13H19826OTHERPENNSYLVANIAINTER-CITY
142353876OTHERPENNSYLVANIAAETNA
1528824OTHERPENNSYLVANIAHEALTH PARTNERS
16480030054OTHERPENNSYLVANIARAILROAD MEDICARE
173Y2326OTHERPENNSYLVANIAHEALTH NET
18435767OTHERPENNSYLVANIAHEALTH AMERICA HEALTH ASSURANCE

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.