Stephanie Ingram Song, MS, RD, CDE
NPI 1396889705ActiveIndividual· Dietitian, Registered· Saddle Brook, NJ
Dietitian, Registered (MS, RD, CDE) in Saddle Brook, New Jersey, licensed in NY, with an NPI issued in February 2007.
Overview
| NPI | 1396889705 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MS, RD, CDE |
| Sole proprietor | Yes |
| NPI issued | Feb 18, 2007 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | 5305 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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