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

Individual provider Podiatrist · NPI 1295721777

Dr. Jinsup Song, DPMPHD is a Podiatry in Philadelphia, Pennsylvania. Graduated from Temple University School of Podiatric Medicine in 1997, 29 years ago. Practices with Temple University of the Commonwealth System of Higher Education, a 13-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
29
Trained at
Temple University School of Podiatric Medicine
Licensed in
PA
In the registry since
2005
Specialties on file
2
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Practice location Address checks out

148 N 8th St
Philadelphia, PA 19107-2496
Phone: (215) 777-5808
Fax: (215) 777-5825
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence SC004393L (PA)
Primary Podiatric Medicine Podiatrist Taxonomy 213EP1101X · Licence SC004393L (PA)

Record details

NPI number1295721777
Entity typeIndividual (Type 1)
GenderMale
Credentials DPMPHD
Sole proprietorNo
NPI enumeratedSeptember 21, 2005
Last updated in NPPESOctober 3, 2023
Certification dateOctober 3, 2023

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolTEMPLE UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Graduated 1997 (29 years in practice)
Group practice Temple University Of The Commonwealth System Of Higher Education — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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