Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jae Won Song, MD

Individual provider Diagnostic Radiology Physician · NPI 1053573766

Dr. Jae Won Song, MD is a Diagnostic Radiology in Philadelphia, Pennsylvania. Graduated from New York University School of Medicine in 2008, 18 years ago. Practices with Clinical Health Care Associates of New Jersey PC, a 789-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
18
Trained at
New York University School of Medicine
Licensed in
PA
In the registry since
2008
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3400 Spruce St
Philadelphia, PA 19104
Phone: (215) 662-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence MD464345 (PA)

Record details

NPI number1053573766
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 25, 2008
Last updated in NPPESJuly 19, 2018

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolNEW YORK UNIVERSITY SCHOOL OF MEDICINE
Graduated 2008 (18 years in practice)
Group practice Clinical Health Care Associates Of New Jersey Pc — 789 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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