Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Jae Keun Song

Physical Therapist in Fresh Meadows, NY · enumerated 2025.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1447111612

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Registry record

Entity type Individual (Type 1)

Name Jae Keun Song

Sex Male

Practice address 7157 161st St Apt 2a, Fresh Meadows, NY, 11365

Phone (917) 832-2320

Enumeration date Nov 18, 2025

Last updated in NPPES Nov 18, 2025

Taxonomy & licenses

225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 051095 (NY) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Jae Keun Song?

The National Provider Identifier (NPI) for Jae Keun Song is 1447111612, a Type 1 (individual) record in the CMS NPPES registry.

Where does Jae Keun Song practice?

The practice location on file with NPPES is in Fresh Meadows, NY. Providers can have multiple locations; NPPES lists the primary practice address.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-11-18.