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

Individual provider Registered Dietitian · NPI 1588518625

Shirley Jue Song, RDN, CDN is a Registered Dietitian OR Nutrition Professional in Brooklyn, New York. Qualified in 2025, 1 year ago. Practices as a sole proprietor and works from 2 locations. Licensed in New York.

Years since qualifying
1
Licensed in
NY
In the registry since
2026
What do these letters mean?
RDN — Registered Dietitian Nutritionist
The current title for a registered dietitian.

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Practice location Address checks out

121 Dekalb Ave
Brooklyn, NY 11201-5493
Phone: (718) 250-6559
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 229 E 110th St Apt 3, New York, NY 10029-3368 — (562) 299-8030

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 013293 (NY)

Record details

NPI number1588518625
Entity typeIndividual (Type 1)
GenderFemale
Credentials RDN , CDN
Sole proprietorYes
NPI enumeratedFebruary 25, 2026
Last updated in NPPESMarch 9, 2026
Certification dateMarch 9, 2026

Medicare enrollment

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

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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