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

Dr. Niki Jinlu Song, MD

Individual provider Psychiatry Physician · NPI 1205412749

Dr. Niki Jinlu Song, MD practises Psychiatry in New York, New York. Graduated from New York Medical College in 2021, 5 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
5
Trained at
New York Medical College
Licensed in
NY
In the registry since
2021
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

45 Rivington St
New York, NY 10002-1304
Phone: (212) 420-2390
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 253 South St, New York, NY 10002-7827 — (646) 470-1055

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 327699 (NY)

Record details

NPI number1205412749
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 23, 2021
Last updated in NPPESApril 16, 2024
Certification dateApril 16, 2024

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolNEW YORK MEDICAL COLLEGE
Graduated 2021 (5 years in practice)
Group practice North Shore-Lij Medical Pc — 6350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at North Shore-Lij Medical PC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 6350 clinicians in the practice; 12 are shown here.

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