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

Jae Song

Individual provider Registered Nurse · NPI 1225887888

Jae Song is a Registered Nurse in Melville, New York. Licensed in New York. Registered with an NPI since 2024.

Licensed in
NY
In the registry since
2024

Practice location Address checks out

265 Broadhollow Rd
Melville, NY 11747-4833
Phone: (631) 815-2735
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 801498-01 (NY)

Record details

NPI number1225887888
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 16, 2024
Last updated in NPPESMay 16, 2024
Certification dateMay 16, 2024
Mailing address16 Teresa Ln, East Northport, NY 11731-5316

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