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

Jiannan Song, MD, PHD

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1205078318

Jiannan Song, MD, PHD is a Pathology in Flushing, New York. Qualified in 1999, 27 years ago. Practices with New York Queens Medicine and Surgery, PC, a 401-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
27
Licensed in
NY
In the registry since
2009
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

5645 Main St Nyhq- Pathology Dept
Flushing, NY 11355-5045
Phone: (215) 817-6128
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 268019 (NY)

Record details

NPI number1205078318
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , PHD
Sole proprietorNo
NPI enumeratedApril 3, 2009
Last updated in NPPESJune 21, 2023
Certification dateJune 21, 2023

Medicare enrollment

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

Medicare specialtyPATHOLOGY
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice New York Queens Medicine And Surgery, P.C. — 401 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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