Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

David Song

Individual provider Physician Assistant · NPI 1538908058

David Song is a Physician Assistant in New Haven, Connecticut. Qualified in 2023, 3 years ago. Practices with Yale University, a 2,618-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
3
Licensed in
CT
In the registry since
2024
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Practice location Address checks out

2 Church St S Ste 305
New Haven, CT 06519-1717
Phone: (203) 785-4445
Fax: (203) 785-7891
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1350 Boston Post Road, Madison, CT 06443 — (203) 350-1900

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 6605 (CT)

Record details

NPI number1538908058
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 23, 2024
Last updated in NPPESMarch 18, 2026
Certification dateMarch 18, 2026
Mailing address2 Church St S Ste 305, New Haven, CT 06519-1717

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Yale University — 2618 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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