DR. SANGCHIN SONG (NPI# 1154492676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154492676 |
| Entity Type | Individual |
| Full Name | DR. SANGCHIN SONG |
| Other Name | DR. SANGCHIN SONG |
| Credential | D.M.D. |
| Practice Address |
1828 W Lake Ave Suite 201 Neptune NJ 07753-4663 |
| Practice Telephone | 7328695770 |
| Practice Fax Number | 7328695785 |
| Mailing Telephone | 7328695770 |
| Mailing Fax Number | 7328695785 |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2016-09-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
22DI02074400 | NJ | Dental Providers |
| Street Address |
1828 W LAKE AVE SUITE 201 |
| City | NEPTUNE |
| State | NJ |
| Zip Code | 07753-4663 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386618528 | Joann Elizabeth Sabados-carolina | Nurse Practitioner | 1828 W Lake Ave, Suite 204, Neptune, NJ 07753-4663 | 2006-02-15 |
| 1750945770 | Talia Elaine Miceli | Dentist | 1828 W Lake Ave, Neptune, NJ 07753-4663 | 2019-04-24 |
| 1609380120 | Maria Nicole Cowan | Social Worker | 1828 W Lake Ave, Neptune, NJ 07753-4663 | 2017-11-20 |
| 1396257952 | Hmh Hospitals Corporation | Clinic/Center | 1828 W Lake Ave, Neptune, NJ 07753-4663 | 2017-11-03 |
| 1801313820 | Michael Ottaviano | Dentist | 1828 W Lake Ave, Neptune, NJ 07753-4663 | 2017-08-30 |
| 1174048144 | Nicholas James Ciardiello | Dentist | 1828 W Lake Ave, Neptune, NJ 07753-4663 | 2017-08-10 |
| 1043731375 | Ariane Seto | Dentist | 1828 W Lake Ave, Neptune, NJ 07753-4663 | 2017-06-27 |
| 1548703705 | Amanda Thompson | Dentist | 1828 W Lake Ave, Neptune, NJ 07753-4663 | 2016-11-21 |
| 1689121212 | Constance Petine | Physician Assistant | 1828 W Lake Ave, Neptune, NJ 07753-4663 | 2016-09-01 |
| 1700237864 | Alexandra Corrine Christie | Obstetrics & Gynecology | 1828 W Lake Ave, Neptune, NJ 07753-4663 | 2016-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255938361 | Maryjoy Marzan | Nurse Practitioner | Hope Tower - Jersey Shore University Medical Center, 19 Davis St 6th Floor, Neptune, NJ 07753 | 2020-10-02 |
| 1174138952 | Darlene Lupo | Nurse Practitioner | 72 Morris Ave, Neptune, NJ 07753 | 2020-09-09 |
| 1124645148 | Charlotte Emily Parker | Audiologist | 3700 Nj-33, Suite 101, Neptune City, NJ 07753 | 2020-06-26 |
| 1023667896 | Joseph Renninger | Psychologist | 2100 Route 33 Suite 9/10, Neptune, NJ 07753 | 2019-09-05 |
| 1952950800 | Matthew Aaron Brigle | Psychologist | 2100 Nj-33, Suite 9-10, Neptune City, NJ 07753 | 2019-09-04 |
| 1285292110 | Joseph F Mcnamara | Nurse Practitioner | 1945 Nj State Highway 33, Neptune, NJ 07753 | 2019-06-05 |
| 1679046601 | Richard Valderas Penalosa Jr. | Nurse Practitioner | 409 Locust St, Neptune, NJ 07753 | 2019-01-02 |
| 1528539822 | Neptune Rx LLC | Pharmacy | West Lake Pharmacy, 1828 West Lake Avenue, Neptune, NJ 07753 | 2018-12-12 |
| 1053880286 | Hmh Hospitals Corporation | Clinic/Center | 1200 Jumping Brook Rd., Bldg 5, Ste 201, Neptune, NJ 07753 | 2018-11-16 |
| 1972084424 | Melissa Hillebrecht | Psychologist | 2100 Nj-33 Suite 9-10, Neptune, NJ 07753 | 2018-08-23 |
| Find all providers in zip 07753 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912322843 | Hina Khurana | Dentist | 325 Timber Ridge Ct, Neptune, NJ 07753-3020 | 2014-03-01 |
| 1700188612 | Andrea Brooke Dinowitz | Dentist | 1828 West Lake Avenue, Dental Clinic, Neptune, NJ 07753 | 2010-11-29 |
| 1659414027 | Maria R Jimenez-duru | Dentist | 2300 State Route 33, Oliver Brothers Building, Neptune, NJ 07753-4362 | 2007-02-15 |
| 1720008816 | John K Bixby | Dentist | 2240 State Highway 33, Suite 14, Neptune, NJ 07753-6104 | 2006-07-20 |
| 1750945770 | Talia Elaine Miceli | Dentist | 1828 W Lake Ave, Neptune, NJ 07753-4663 | 2019-04-24 |
| 1801313820 | Michael Ottaviano | Dentist | 1828 W Lake Ave, Neptune, NJ 07753-4663 | 2017-08-30 |
| 1174048144 | Nicholas James Ciardiello | Dentist | 1828 W Lake Ave, Neptune, NJ 07753-4663 | 2017-08-10 |
| 1043731375 | Ariane Seto | Dentist | 1828 W Lake Ave, Neptune, NJ 07753-4663 | 2017-06-27 |
| 1548703705 | Amanda Thompson | Dentist | 1828 W Lake Ave, Neptune, NJ 07753-4663 | 2016-11-21 |
| 1033477948 | Noelle R Signoriello | Dentist | 1828 W Lake Ave, Neptune, NJ 07753-4663 | 2012-04-27 |
| Find all providers in NEPTUNE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.