Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1952868804 Deactivated / Inactive NPI Male Practitioner

Dr. Yoon Sang Song , DC

Chiropractor • Cherry Hill, NJ

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Yoon Sang Song has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 27, 2019
NPI Deactivation Date February 28, 2019
Total Practice Duration ~1 Years of Practice (2018 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Yoon Sang Song, DC was a registered Chiropractor practicing in Cherry Hill, NJ. Throughout an active medical career spanning 1 years, Dr. Song provided care at the practice location at 1930 MARLTON PIKE E STE F33 until profile deactivation on 2019-02-28.

Dr. Song did not directly accept Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1930 Marlton Pike E Ste F33

Cherry Hill, NJ 080032150

Telephone 8562341200
Fax 8562341206
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2018

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Cherry Hill, NJ

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
8 Yrs -18.8 yrs vs City Avg
City Avg: 26.8 Yrs
State Avg: 29.0 Yrs
Regional Practice Density
23 Specialists

Practicing in Cherry Hill, NJ (3049 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Song (8 Years) 8 Yrs
Cherry Hill Specialty Average (26.8 Years) 26.8 Yrs

Medical Specialties & State Licenses

CMS Verified: 2024-04-04
Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License NJ 38MC00800600

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Chiropractor

NUCC Taxonomy Code: 111N00000X

State License PA DC011458

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Secondary Practice Locations

525 W Chester Pike Ste 103a

Havertown, PA 190834539

Phone: 6107893678

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
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Updated Practice Location April 04, 2024

Registered at 1930 MARLTON PIKE E STE F33, CHERRY HILL, NJ 080032150 (Tel: 8562341200)

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Updated Business Mailing Address April 04, 2024

Registered at 1930 MARLTON PIKE E STE F33, CHERRY HILL, NJ 080032150 (Tel: 8562341200)

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 04, 2024

Chiropractor (License #38MC00800600 in NJ)

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Updated Practice Location March 12, 2019

Registered at 6115 WOODLAND AVE, PHILADELPHIA, PA 191422418 (Tel: 2156459200)

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Updated Business Mailing Address March 12, 2019

Registered at 525 W CHESTER PIKE STE 103A, HAVERTOWN, PA 190834539 (Tel: 6107893678)

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Provider Name / Credentials Updated March 12, 2019

Recorded as YOON SANG SONG, DC

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 12, 2019

Chiropractor (License #DC011458 in PA)

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NPI Profile Deactivated February 28, 2019

Record deactivated on February 28, 2019

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Initial NPI Registration & Enumeration February 27, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1952868804
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 27, 2019
Last Update: April 04, 2024
Deactivation Date: February 28, 2019
Sole Proprietor: Yes

Mailing Address

1930 Marlton Pike E Ste F33

Cherry Hill, NJ 080032150

Phone: 8562341200

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.